DRUG STUDY

DRUG

Generic Name:
Sodium Chloride
Brand Name:
NaCl
Classification:
Electrolyte
Dosage: 1 tab
Route:
Oral
Form:
tablet

MECHANI
SM OF
ACTION
Sodium is
the major
cation of
the bodys
extracellul
ar fluid. It
plays a
crucial
role in
maintaini
ng the
fluid and
electrolyt
e balance.
Excess
retention
of sodium
results in
over
hydration
whch is
often
treated
with
diuretics.

INDICATION

CONTRAINDICATION

EFFECT

NURSING
RESPONSIBILITIES

Prophylaxis
of heat
prostration
or muscle
cramps;
chloride
deficiency
due t
dieresis or
salt
restrictions;
revention or
treatment
of
extraellular
volume
depletion.

Congestive
heart failure.
Severely
impaired renal
function.
Hypernatremia
Fluid retention.

Adverse Effect:
Hypernatremia
Hypopotassemia
Acidosis
Fluid and solute
overload leading
to dilution of
serum
electrolyte level
CHF
Overhydration
Acute
pulmonary
edema

Monitor
electrolytes,
ECG, liver and
renal function
studies.
Note level of
consciousness.
Assess the heart
and lung sounds.
Observe S&S of
hypernatremia,
flushed skin,
elevated
temperature,
rough dry tongue
and edema.
Monitor VS and
I&O.
Assess urine
specific gravity
and serum
sodium levels.