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Can you give hypertonic saline through a peripheral IV?

Can you give hypertonic saline through a peripheral IV?

Hypertonic saline can be administered safely through a peripheral vein in a non-ICU setting.

How fast can you infuse 3% sodium chloride?

In pediatric patients: 2.4. 3.1. Sodium chloride 3% – Administer 3% sodium chloride infusion in a range between 0.1 and 1 mL/kg/hr (Class I, Level of Evidence A). 32 A 3 to 5 mL/kg bolus may be given over 30 minutes if more aggressive therapy is desired (Class IIa, Level of Evidence B).

How do you administer 3 normal saline?

via Peripheral IV:

  1. 3% Saline is the preferred solution.
  2. 6ml / kg raises the serum sodium approximately 5 mmol/l.
  3. Infusion rate: 3% Saline at 0.5 – 1.0 ml/kg/hr (max rate 100ml/hr)
  4. Duration: administer over 1 hour.
  5. Check serum Na hourly while infusion being administered and one hour post-completion of infusion.

Is hypertonic saline given peripherally?

The study, “Safety of Continuous Peripheral Infusion of 3% Sodium Chloride Solution in Neurocritical Care Patients,” suggests that safe administration of continuous intravenous infusion of hypertonic saline via a peripheral catheter may help avoid unnecessary placement of central catheters, which could lead to fewer …

When do you use 3% saline?


  1. An electrolyte supplement.
  2. 3% Hypertonic NaCl should only be used for Emergency treatment of severe hyponatremia.
  3. Expansion of the extracellular fluid compartment in cases of hypovolemia and low blood pressure should be done with 0.9% NaCl (normal saline.)

Does 3% saline need a filter?

Use of a final filter is recommended during administration of all parenteral solutions, where possible. All injections in VIAFLEX plastic containers are intended for intravenous administration using sterile equipment.

What is 3% saline used for?

Conclusions: Hypertonic saline administration as a 3% infusion appears to be a promising therapy for cerebral edema in patients with head trauma or postoperative edema.

When do you give 3% sodium chloride?

Administer 3% and 5% Sodium Chloride Injection, USP with particular caution to patients with or at risk for hypernatremia, hyperchloremia, hypervolemia or with conditions that may cause sodium retention, fluid overload and edema; such as patients with primary hyperaldosteronism, or secondary hyperaldosteronism (for …

When do you use 3% normal saline?

3% and 5% Sodium Chloride Injection, USP should be used with great care, if at all, in patients with congestive heart failure, severe renal insufficiency, and in clinical states in which there exists edema with sodium retention.

How do you make a 3% saline solution?

Total 3% sodium chloride =128.2 ml. Add 871.8 ml of Sterile Water to make 1000 ml 4.

Can you give 3% sodium chloride through a peripheral IV?

Use Up/Down Arrow keys to increase or decrease volume. 1. “Episode 368: Can 3% (hypertonic) sodium chloride be given through a peripheral IV?” — | Critical Care | Hospital Pharmacy | PGY-1 Pharmacy Residency Infusions of 3% sodium chloride are routinely recommended to be given through central, not peripheral IV lines.

Do you need a central catheter for 3% sodium chloride?

Current recommendations that a central catheter is required for continuous intravenous infusion of 3% sodium chloride solution should be reevaluated. Only a few patients who had peripheral infusions had infusion-related reactions.

Is it safe to give 3% sodium chloride?

The study was done to evaluate the safety of a hospital policy change that allowed the administration of 3% sodium chloride via 16- to 20-gauge peripheral IVs to a maximum infusion rate of 50 mL/hr in patients without central venous access. Patients were assessed for infiltration, erythema, swelling, phlebitis, thrombosis, and line infection.

What are the names of sodium chloride medications?

Name of Medication SODIUM CHLORIDE 3% Other Names: Hypertonic saline 3%, NaCl 3% Therapeutic Classification : Electrolyte solution I.V. ADMINISTRATION IV PUSH INTERMITTENT INFUSION CONTINUOUS INFUSION AUTHORIZATION: All patient care units