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Doctor insights on: Normal Saline Dosage

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While giving Nasal Saline drops to my baby, much more than the normal dosage of the fluid gushed into the sleeping child's nostril. Is it worrisome?

While giving Nasal Saline drops to my baby, much more than the normal dosage of the fluid gushed into the sleeping child's nostril. Is it worrisome?

Not at all: If baby's comfortable enough to sleep, things are fine. I often use saline like a garden hose to loosen the thickened mucous so baby can breathe better from there small nasal passages. ...Read more

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Saline (Definition)

Saline water is a general term for water that contains a significant concentration of dissolved salts (nacl). In medicine we use saline solution for IV hydration. Normal saline (ns) is the commonly-used phrase for a solution of 0.90% w/v of nacl, about 300 mosm/l or ...Read more


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How can normal saline 0.9% nacl correct alkalosis ?

How can normal saline 0.9% nacl correct alkalosis ?

Cause makes acidosis: Normal saline is full of chlorides. Excess chlorides are a known to produce a state called normal anion gap metabolic acidosis. Since acidosis is the opposite of alkalosis, therefore it neutralizes it. ...Read more

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When treating hypernatremia why is normal saline preferred over ½ normal saline?

IV fluids: One of the reasons people who are dehydrated (d) receive Normal Saline (ns) is that they are hypotensive from whatever caused their d. If they are not hypotensive it is more prudent that they receive 1/2 saline to give them fluid in excess of salt. An alternate IV therapy for d is giving those patients 5% dextrose which delivers no sodium to them, if they are not hypotensive. ...Read more

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Is there an advantage of using 10% DW vs Normal Saline as a medium for intravenous drip or there is no advantage ?

Intravenous fluids: are selected specifically in different clinical situations. Sometimes it is important to have glucose in the solution and other times restricting the glucose and only using electrolytes is more appropriate. After you complete medical school and residency training you will be able to appreciate the advantages and select the proper solutions for your patients. ...Read more

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Is 2000ml of normal saline too much fluid over 8 hrs? And when u flush the line with heparin is that going into my system?

Is 2000ml of normal saline too much fluid over 8 hrs? And when u flush the line with heparin is that going into my system?

IV Hydration: No and yes. This is a safe amount of fluid as long as you do not have renal failure. The Heparin does go into your vein. But, this medication does not last long. It dissolves very rapidly and is not thought to be of any danger in such a small dose. ...Read more

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Which IV fluid terapies would be the priorty for rehydration & why? Normal saline or gelofusion ?

Normal saline: In most cases for rehydration there is no evidence that any fluid therapy is superior to normal saline, so because it is inexpensive, most of the time it would be the cboice. ...Read more

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Is a saline enema more effective than a normal one?

Is a saline enema more effective than a normal one?

Enemas: A saline enema is just plain salt water. It is effective but does not contain a cathartic such as phospho soda. Basically, you are just flushing yourself out with liquid. ...Read more

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If pat. With acute stroke and BP 160/100 , if we give normal saline is BP increase?

If pat. With acute stroke and BP 160/100 , if we give normal saline is BP increase?

Depends: Depends on how much you give. If you give 30-40 ml/hr not so much but if its more it might again fuida should be determined by other status as well like renal failure, eating status and many more factors. ...Read more

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Is nebulising with normal saline equivalent to giving steam to a 2.5 month ok infant for cold and congestion?

Is nebulising with normal saline equivalent to giving steam to a 2.5 month ok infant for cold and congestion?

OK for some to use: If a kid is playful and feeding well, but has nasal congestion and cough, i often use this if the parents have the equipment.The object is to help loosen the mucous and i find this can work as well or better than steaming a shower or using a vaporizer. If the kids work of breathing is visibly increased, feedings are off and the kid is not playful, an office eval would be in order. ...Read more

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If dextrose is added to NORMAL saline then does this make sodium retention more likely?

If dextrose is added to NORMAL saline then does this make sodium retention more likely?

No but: Normal saline has a very large amount of salt so it will lead to some degree of fluid retention. The dextrose (sugar) is rapidly taken up and used. ...Read more

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I think that i used too much saline, bc the lower part of my nostrils are burning. Is this normal?

I think that i used too much saline, bc the lower part of my nostrils are burning.  Is this normal?

More Isn't Better: As a general rule, it's hard to use too much saline. Moisture inside your nose is good, but if you are too aggressive with the irrigations you can wash the normal protective mucous out of your nose , which is bad. Keep up with the saline, but maybe back off a little bit. ...Read more

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When is dextrose vs normal saline IV fluids given to patients? Whats, diff.Significance of each fluid?

When is dextrose vs normal saline IV fluids given to patients? Whats, diff.Significance of each fluid?

Sugar vs salt: Saline by itself is used to keep blood volume up. It doesn't contain any nutrients, unlike dextrose, which is essentially glucose. Every cell in the body depends on glucose for fuel. It may be given alone, though often it's combined with other solutions containing various concentrations of sodium and sometimes potassium as well as whatever else might be needed. ...Read more

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Is it bad on your organs if you are being pumped full of normal saline fluid and not urinating?

Depends on situation: Since the most common cause of poor urine output is dehydration, it is standard to provide saline in push form to promote urine output.It is also standard as the initial treatment of low blood pressure. If neither produce increased BP or flow, medications are often the next step.If the kidneys won't make pee, its common to reduce fluids to a trickle and handle the issues with other treatments. ...Read more

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It seems like whenever i get an IV of normal saline my heart rate raises into the 90's can this happen?

It seems like whenever i get an IV of normal saline my heart rate raises into the 90's can this happen?

It can: Most likely a reaction to saline at room temperature being colder than your body temperature. ...Read more

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Yesterday morning I was 144lb had 2L if normal saline and today another 1/2L I weigh 149 now. Is this dangerous? I'm peeing!

Yesterday morning I was 144lb had 2L  if normal saline and today another 1/2L I weigh 149 now. Is this dangerous? I'm peeing!

Not at all: Not dangerous. Our weight fluctuates a lot even 5 lbs, especially with fluids being administered. ...Read more

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Can i use Optical sterile normal saline drop solution in mixing Vebtolin nebulous 2.5mg for a 4yrs old kid inside a nebulizer or would water be better?

Not advised: Optical sterile normal saline could have preservatives in it that should not be inhaled with the nebulized medication. The company that sells the respirator provides normal saline to be used for mixing. Water is not the same as saline and may be harsh compared to saline. In an emergency, I would recommend this recipe (including appropriate steps to clean materials). http://tinyurl.com/oacp7go ...Read more

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Can i use Optical sterile normal saline drop solution in mixing Vebtolin nebulous 2.5mg inside a nebulizer for a 4yr old or would water be better?

Can i use Optical sterile normal saline drop solution in mixing Vebtolin nebulous 2.5mg inside a nebulizer for a 4yr old or would water be better?

Mgt: Saline solution is the usual mixture. Your pharmacy can supply a bottle specifically for use with the nebulizer. I would suggest asking your PCP about an inhaler and mask/spacer device for delivery of the medication. ...Read more

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(1 I understand that IV normal saline can be given at the same time as IV antibiotics by slow drip. How can this be done at the same time?(2) Can ceftriaxone be adminsitered more quickly

(1 I understand that IV normal saline can be given at the same time as IV antibiotics by slow drip. How can this be done at the same time?(2) Can ceftriaxone be adminsitered more quickly

IV lines come with: ports that allow a second source of fluids to be administered along with the primary one. IV antibiotics and other medications don't always have to be administered by slow drip. BTW, the quickest way to administer ceftriaxone is intramuscularly, altho it's not always the best way. Dr. Anne ...Read more

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Please explain why urologists use glycerin instead of normal saline during urology surgery?

Please explain why urologists use glycerin instead of normal saline during urology surgery?

U*R mistaken: Am pretty sure ur referring to glycine.1.5% glycine is used for irrigation during trans-urethral cauterization of bleeding vessels resections of prostate or bladder tumors when using a monopolar electrocautery machine. It non-electrolytic, unlike saline, so does not disperse the electric current away from whatever is being cauterized or cut. Has a physiologic osmolality like saline ; unlike water. ...Read more

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Is it appropriate to administer Vitamin K by IV if the vitamin is added to a normal saline solution even if other administration routes are available?

Is it appropriate to administer Vitamin K by IV if the vitamin is added to a normal saline solution even if other administration routes are available?

Vitamin k: Yes vitamin k can be give Iv. Although the preferable route should be intramuscular or oral, it can be give Iv. The risk of death is skittle higher with Iv route ...Read more

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Is it a good practice to instill normal saline imto the trachea immediately after a tobramycin nebulizer treatment to rinse the trachea?

Is it a good practice to instill normal saline imto the trachea immediately after a tobramycin nebulizer treatment to rinse the trachea?

No: Although i'm not a pulmonary md, i suspect the concentration of tobramycin in the ampules is determined with the belief that that is the ideal concentration, without having to water it down afterwards. ...Read more

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What is best drug to treat BP of 214 from normal saline infusion in ambulance? Was hypotensive 92 yo who was dry; salt sensitive mild htn, prior cva.

What is best drug to treat BP of 214 from normal saline infusion in ambulance?  Was hypotensive 92 yo who was dry; salt sensitive mild htn, prior cva.

Confused by question: Someone w/ low blood pressure en route to hospital by ambulance doesn't suddenly have increase in BP to 214 due to saline infusion. Increase may be a reflection of underlying illness which necessitated transfer to hospital or anxiety about ride to hospital or fear of illness or other injectable meds received to raise low bp. Treatment meds & parameters then depend on underlying acute illness. ...Read more