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Sodium Chloride Eurospital 0.9% solution for infusion
What it is and what it is used for
Fluid and sodium chloride replacement
What you need to know before taking the medicine
Hypernatremia
Plethora.
Warnings and precautions
Sodium salts should be administered with caution in patients with hypertension, heart failure, peripheral or pulmonary edema, impaired renal function, pre-eclampsia, or other conditions associated with sodium retention (see interactions).
Solutions with a concentration higher than 0.9% (hypertonic solutions) should be used with caution, at a controlled infusion rate and only in cases where they are specifically prescribed.
Use with great caution in patients with congestive heart failure, severe renal failure and in clinical conditions where there is edema with salt retention; in patients treated with corticosteroid or corticotropin drugs. Continuous administration without potassium supplementation can cause hypokalemia.
Use with caution in children.
During infusion, it is good practice to monitor fluid balance, electrolytes, plasma osmolarity and acid-base balance.
The solution must be clear, colorless and free of visible particles. Use immediately after opening the container. The container is for a single and uninterrupted administration and any remaining residue cannot be used.
Possible side effects
Like all medicines, Sodium chloride can cause side effects, although not everybody gets them.
The side effects of sodium chloride are listed below. There is insufficient data to establish the frequency of the individual effects listed.
Water and electrolyte balance disorders
Hypernatremia, hypervolemia, plasma hypo-osmolarity (for 0.45% solutions), hyperchloremia (which can cause bicarbonate loss with consequent acidosis).
Nervous system disorders
Headache, dizziness, restlessness, fever, irritability, weakness, muscle stiffness, seizures, coma, death
Psychiatric disorders
Drowsiness, confusional states
Respiratory, thoracic and mediastinal disorders
Dyspnea, respiratory arrest.
Gastrointestinal disorders
Thirst, reduced salivation, nausea, vomiting, diarrhea, abdominal pain.
Cardiac disorders
Tachycardia.
Eye disorders
Reduced lacrimation.
Kidney and urinary disorders
Renal failure.
Vascular disorders
Hypotension, hypertension, pulmonary and peripheral edema.
Systemic disorders and conditions related to the administration site
Infection at the infusion site, local pain or reaction, venous irritation, thrombosis or phlebitis extending from the infusion site, extravasation.
Following the instructions in the package leaflet reduces the risk of side effects.
If any of the side effects get worse, or if you notice any side effects not listed in this leaflet, tell your doctor or pharmacist.


