A recurring issue has come about in regards to the best vascular access delivery of 3% Sodium chloride. According to Infusion Nursing: An evidence- based approach 3rd edition -(Mary Alexander, Ann Corrigan, Lisa Gorski, Judy Hankins, Roxanne Perucca) the recommendation is to administer 3% sodium chloride in an ICU setting and through a central line.
However, our renal group of doctors feel that it is fine to administer a 4-6 hour infusion through a peripheral line to correct severe hyponatremia.
Our dilema is when this hypertonic solution infiltrates, the pain is tremendous and healing is slow. Getting renal doctors to realize this is difficult.
My question are: What is the practice at your institution in regards to 3% sodium chloride infusions? Have 3% sodium chloride infiltrations caused harm to the patient? Has your institution safely administered 3% sodium chloride peripherally?
I look forward to the discussion.
-Lois Long Rajcan, MSN, RN, CRNI - Chester County Hospital, West Chester PA