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A Survey of Hospital Pharmacy Guidelines for the Administration of 3% Sodium Chloride in Children.

Research paperChildren (Basel) / Children's Hospital Association survey2022Full text
  • Fluids and electrolytes
  • Line and device care
  • Medical
  • Neurology
  • Nursing
  • Renal and metabolic

Summary

A survey of pharmacy directors at 43 US children's hospitals examining whether policies exist for administering 3% sodium chloride and what restrictions apply. Most responding hospitals reported restrictions on route (peripheral vs central), rate, volume and care setting, and around two-thirds had written guidelines. The authors note such restrictions may delay treatment of symptomatic hyponatraemia. Relevant to PICU teams managing hypertonic saline protocols and institutional policy development.

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Guidelines are shown for education. Follow your unit's own guidance and senior advice.

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