At many hospitals 3% is restricted to central lines or ICUs. This is despite data showing that it is safe enough to use peripherally.
From tonight’s NephJC:
My hospitalists and nursing colleagues freak out about 3% saline. Requires central line and step-down unit bed. #NephJC
— KatieOverV (@KatieKwonMD) March 28, 2018
I believe there is evidence that 3% an be given peripherally. have been considering doing a mythbusting blog on this. #NephJC
— ππ€π¨π πππ§π ππ¨ (he/him) π (@PulmCrit) March 28, 2018
we give sodium bicarb peripherally all the time and that has a Na concentration of 1,000 compared to 513 with 3% #NephJC
— Joel M. Topf, MD FACP (@kidney_boy) March 28, 2018
We give it peripherally too #NephJC
— ChristosArgyropoulos MD, PhD FlozinatorInChief (@ChristosArgyrop) March 28, 2018
There: https://t.co/iAuf9d1x84
— Helbert Rondon, MD, MS, FACP, FASN, FNKF (@NephroMD) March 28, 2018
— Helbert Rondon, MD, MS, FACP, FASN, FNKF (@NephroMD) March 28, 2018
And one more