Indication

Isotonic (0.9% w/v) Sodium Chloride infusion is used in sodium and water depletion. For instance, in the management of metabolic alkalosis, in case of gastro-enteritis, during and after surgery. It may also be used as a priming fluid for haemodialysis procedures. Normalin 0.9% infusion is often used as diluents for infusion of drug additives etc. It is widely used for sterile irrigation and dilution process.


Dosage & Administration

The concentration and dosage of Sodium Chloride solution for intravenous use is determined by several factors including age, weight and clinical condition of the patient. Usually the adult dose is about 1000 ml of 0.9% injection. Administration Procedure:

  • 1. Check infusion set and infusion solution prior to use
  • 2. Pull moderately to tear off the protective cover of the Eurohead
  • 3. Hold lightly the Eurohead but not the bag
  • 4. Open the flow regulator fully and hold the giving set on the top white area, but not the membrane venting region
  • 5. Insert the spike of the administration set to the Eurohead and fit the connector of the administration set firmly to the needle
  • 6. Gradually allow the fluid to flow down to the needle tip and close
  • 7. Remove the protective cover of the needle
  • 8. Locate the venipuncture site and clean the site with an antiseptic solution, and then insert the needle
  • 9. Securely tape the puncture site
  • 10. Securely tape the wings and tubing
  • 11. Start infusion while adjusting drip speed


Precautions

Serum electrolyte concentration should be carefully monitored. Sodium Chloride should be administered with caution to patients with congestive heart failure, peripheral or pulmonary oedema, impaired renal function or pre-eclampsia. Care should also be taken when administering Sodium Chloride intravenously to very young or elderly patients. Excessive administration should be avoided as this may result in hypokalaemia.Infusion of fluid should be immediately discontinued if rigor arises for any reason during its application. Do not use if the solution is cloudy, contains particles, or after expiry date.


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