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    Pharmacy Preceptors Guild of The Philippines: Jonathan B. de Guzman OLFU - Valenzuela Section 8

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    1. A 20-year-old man presented with sudden left sided weakness and imbalance and decreased consciousness. A CT scan showed a mid-basilar occlusion. The physician ordered 3% sodium chloride 1 liter infusion at 1 ml/kg/hr via peripheral line. 2. To make the 3% sodium chloride solution, 13.7 parts of 0.9% sodium chloride and 14.6 parts of sodium chloride 50 mEq/20ml vial are needed to make 1000 ml of the 3% solution. 3. The infusion rate for the 65 kg patient would be 65 ml/hr. 3% sodium chloride is recommended to be given via central line but can be given peripherally in emer

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    Pharmacy Preceptors Guild of The Philippines: Jonathan B. de Guzman OLFU - Valenzuela Section 8

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    Jonathan Deguzman
    577 views2 pages
    1. A 20-year-old man presented with sudden left sided weakness and imbalance and decreased consciousness. A CT scan showed a mid-basilar occlusion. The physician ordered 3% sodium chloride 1 liter infusion at 1 ml/kg/hr via peripheral line. 2. To make the 3% sodium chloride solution, 13.7 parts of 0.9% sodium chloride and 14.6 parts of sodium chloride 50 mEq/20ml vial are needed to make 1000 ml of the 3% solution. 3. The infusion rate for the 65 kg patient would be 65 ml/hr. 3% sodium chloride is recommended to be given via central line but can be given peripherally in emer

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    act 22

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    1. A 20-year-old man presented with sudden left sided weakness and imbalance and decreased consciousness. A CT scan showed a mid-basilar occlusion. The physician ordered 3% sodium chloride 1 liter infusion at 1 ml/kg/hr via peripheral line. 2. To make the 3% sodium chloride solution, 13.7 parts of 0.9% sodium chloride and 14.6 parts of sodium chloride 50 mEq/20ml vial are needed to make 1000 ml of the 3% solution. 3. The infusion rate for the 65 kg patient would be 65 ml/hr. 3% sodium chloride is recommended to be given via central line but can be given peripherally in emer

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    © All Rights Reserved
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    577 views2 pages

    Pharmacy Preceptors Guild of The Philippines: Jonathan B. de Guzman OLFU - Valenzuela Section 8

    Uploaded by

    Jonathan Deguzman
    1. A 20-year-old man presented with sudden left sided weakness and imbalance and decreased consciousness. A CT scan showed a mid-basilar occlusion. The physician ordered 3% sodium chloride 1 liter infusion at 1 ml/kg/hr via peripheral line. 2. To make the 3% sodium chloride solution, 13.7 parts of 0.9% sodium chloride and 14.6 parts of sodium chloride 50 mEq/20ml vial are needed to make 1000 ml of the 3% solution. 3. The infusion rate for the 65 kg patient would be 65 ml/hr. 3% sodium chloride is recommended to be given via central line but can be given peripherally in emer

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    Pharmacy Preceptors Guild of the Philippines

    HOSPITAL PHARMACY VIRTUAL INTERNSHIP PROGRAM


    CLINICAL PHARMACY – Compounding and Drug Calculation
    ACTIVITY ASSIGNMENT – 22
    Name of Student: Jonathan B. De Guzman
    School: OLFU - Valenzuela Section 8

    Objective:

     Perform calculations relevant to sterile compounding.

    Case:

    A 20-year-old man, height 5.8 ft and weight 65 kg, with no past medical history presented to a primary
    stroke center with sudden left sided weakness and imbalance followed by decreased level of
    consciousness. Head CT scan showed no hemorrhage, no acute ischemic changes, and a hyper-dense
    basilar artery. The CT angiography shoed a mid-basilar occlusion. Physician order to start 3% Sodium
    Chloride 1 Liter with the dose of 1ml/kg/hr via peripheral line.

    The available preparations of Sodium Chloride at the Hospital Pharmacy are:

    1. 0.9% Sodium Chloride 1L


    2. Sodium Chloride 50mEq/20ml vial

    Activity:

    1. Determine how many mL of 0.9% Sodium Chloride and Sodium Chloride 50 mEq/20ml are
    needed to make 3% Sodium Chloride 1 liter. Show your computation.

    ��� �� ����� �� ��. � �


    = =
    � �� ����� ��� ��
    14. 6 2.1 parts
    3%
    0.9 11.6 part
    13.7
    �. � �����
    � ���� �� = ���. �� ��
    ��. � �����
    ��. � �����
    � ���� �� = ���. �� ��
    ��. � �����
    --------------------------------------------

    1000 ml of 3% NaCl

    Page 1 of 2
    Pharmacy Preceptors Guild of the Philippines
    HOSPITAL PHARMACY VIRTUAL INTERNSHIP PROGRAM
    CLINICAL PHARMACY – Compounding and Drug Calculation
    ACTIVITY ASSIGNMENT – 22

    2. What will be the rate of infusion (ml/hr) to be given to the patient.

    � ��
    �� �� � = �� ��/��
    � ��

    3. Is 3% Sodium Chloride infusion recommended to be infused via peripheral line? Please provide
    reference for your answer.

    - Three percent sodium chloride (3% NaCl) is a hyperosmolar agent that can be lifesaving for
    patients . 3% Sodium Chloride infusion are usually recommended via central lines and not
    through peripheral IV lines. However, in case CVAD is not available, several studies reveals
    that it is safe to administer via peripheral vein in cases of hyponatremia in situations in
    which a delay in therapy could result in neurologic complications. But still Infusions of 3%
    sodium chloride is highly recommended to be given via Central IV lines. A growing number of
    studies have reported relatively safe administration of 3% NaCl through a peripheral vein.

    Reference: Metheny, N.A. (2021 April). Administration of 3% Sodium Chloride Via a Peripheral Vein A
    Literature Review. Journal of Infusion Nursing. 44(2); 94-102. DOI: 10.1097/NAN.0000000000000420

    Page 2 of 2

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