Sodium Chloride 0.9%

What are the indications for adult fluid therapy?

- Medical conditions without haemorrhage - DKA
- Medical conditions with haemorrhage
- Trauma related haemorrhage
- Burns
- Limb crush injury

What are the indications for child fluid therapy?

- Medical conditions - DKA
- Trauma related haemorrhage
- Burns

What is the action of sodium chloride 0.9%?

Increases vascular fluid volume which raises cardiac output and improves perfusion

What are the cautions of sodium chloride 0.9%?

- See General exceptions in intravascular fluid therapy section in JRCALC
- Young adults 18-25 with low BMI – due to increased risk of cerebral oedema
- Elderly, pregnant, suffering with heart/renal failure
- Children, note advice distinguishing between treatment for those with shock and those that are dehydrated

What are the adult doses for sodium chloride when suspecting DKA?

- If shocked: 500ml IV infusion over 15 mins; 2nd dose 500ml
- If dehydrated: 1l IV infusion over 60 minutes
- Max dose 1 litre

What are the child doses for sodium chloride when suspecting DKA?

- See age per page for dose
- Administer once over 30 minutes
- No repeat dose