Hi
Our NICU wants to be able to order sodium chloride 0.225% IV PRN for replacement of high output (urine output or gastric stump output). They would like to reserve it for patients with hypernatremia (+/- hyperglycemia. We are hesitant given how hypotonic the fluid is and potential safety concerns.
Does anyone allow this to be ordered, and if so what safety parameters have you implemented to prevent it from getting run alone/continuously? Would appreciate any other feedback to help us make a smart and safe decision!
Thanks
Lindsey