DAVAO DOCTOR’S

COLLEGE General
Malvar St., Davao City
Nursing Program

DRUG STUDY

Name of Patient: Patient D.B. Date of Admission: October 15, 2023 Room: Not Indicated
Age: 66 years old Sex: Male Civil Status: Married Attending Physician/s: Dr. Sabido

DRUG NAME CLASSIFICATION / INDICATION CONTRAINDICATION ADVERSE EFFECTS NURSING

MECHANISM OF S RESPONSIBILITY
ACTION

CLASSIFICATION  Hypernatraemia  Hypersensitivity  General disorders Before administering

Isotonic solution  Replacement of fluid and infusion and  Vital signs: Monitor
and electrolytes reactions, administration site blood pressure, heart
Mechanism of Action:  Irrigation of the including conditions: rate, respiratory rate,
Sodium chloride is the major bladder, eye, general hypotension, Infusion site and temperature to
extracellular cation. It is skin and wound pyrexia, tremor, erythema, assess hydration
important in electrolyte and cleansing chills, urticaria, injection site status and overall
fluid balance, osmotic  Nasal congestion rash, and pruritus streaking, burning health.
pressure control and water  Prophylaxis of muscle have been sensation, and  Electrolyte levels:
distribution as it restores cramps during routine reported with infusion site Evaluate serum
sodium ions. It is used as a haemodialysis 0.9% Sodium urticaria. sodium, potassium,
source of electrolytes and  Chronic salt-losing Chloride Injection,  Hypersensitivity and chloride levels to
water for hydration, conditions USP. reactions: identify any
treatment of metabolic  Oral hygiene  Severe heart Hypotension, electrolyte
acidosis, priming solution in failure pyrexia, tremor, imbalances that may
 Renal Impairment
haemodialysis and treatment  Severe renal chills, urticaria, necessitate NS
of hyperosmolar diabetes. It insufficiency rash, and pruritus. administration.
BRAND NAME:
is also used as diluents for  Hyperchloremia  Metabolism and  Allergic history:
infusion of compatible drug  Hypernatremia nutrition Inquire about any
Euro-Med 0.9% Sodium additives.
Chloride  disorders: allergies to sodium
Hypernatremia, chloride or other
Pharmacokinetics: hyponatremia, medications to
GENERIC NAME: Absorption: Well-absorbed
0.9% Sodium Chloride hyperchloremic prevent adverse
from the GI tract. metabolic reactions.
Excretion: Mainly in the acidosis. Preparation:
DOSAGE:
1000 Ml
urine, with small amounts  RS: Pulmonary
 excreted in the sweat, edema  Inspect the NS
ROUTE: faeces, tears and saliva.  CVS: Cardiac solution: Check the
IV arrhythmias, expiration date,
Hypervolemia, clarity, and sterility of
FREQUENCY: REFERENCES: Electrolyte the solution to ensure
100 cc/hr IV fluid types (Crystalloid) disturbances. its safety and
uses nursing therapy:  NVS Disorders: efficacy.
(Isotonic, hypertonic, Hyponatremic  Label the IV bag:
hypotonic). (2023, encephalopathy. Clearly label the IV
October 18). bag with the patient's
Registered Nurse name, date, time, and
name of the solution
RN.
(0.9% sodium
https://www.register chloride)..
ednursern.com/iv- Administration:
fluid-types-nursing-  Site assessment:
isotonic-hypertonic- Regularly inspect the
hypotonic/ IV insertion site for
sodium chloride 0.9 % redness, swelling, or
intravenous infiltration, indicating
solution | Kaiser potential infection or
Permanente. (n.d.). extravasation.
Kaiser Permanente.  Fluid balance:
https://healthy.kaiser Monitor the patient's
permanente.org/heal intake and output to
th-wellness/drug- maintain fluid balance
encyclopedia/drug.s and prevent fluid
odium-chloride-0-9- overload or
intravenous- dehydration.
solution.271473  Electrolyte
Sodium chloride injection: monitoring: Assess
package insert. electrolyte levels
(n.d.). Drugs.com. periodically,
https://www.drugs.co especially in patients
m/pro/sodium- with underlying
chloride- electrolyte
injection.html imbalances or those
Sodium chloride: Uses, receiving prolonged
Interactions, NS therapy.
Mechanism of Action  Vital signs:
| DrugBank Online. Continuously monitor
(n.d.). DrugBank. blood pressure, heart
https://go.drugbank.c rate, respiratory rate,
om/drugs/DB09153 and temperature to
detect any adverse
 reactions or changes
in the patient's
condition.
After Administration:
 Record the
administration of NS:
Document the date,
time, amount, and
route of
administration in the
patient's medical
record.
 Note patient
response: Record
any observed
changes in the
patient's condition,
including vital signs,
fluid balance, and
electrolyte levels.
 Communicate with
healthcare team:
Inform physicians and
other healthcare
providers about the
patient's response to
NS therapy and any
concerns that may
arise.
KATHRYNE MAY C. JINON, SN
Name of a student