Normal Saline (Salpac) 2000ml IV

Introduction
Normal Saline (Salpac) 2000ml IV comprises of purified salt solution. It is used to treat nasal congestion (blocked nose). Normal Saline (Salpac) 2000ml IV works by moisturizing the inner surface of nose. It helps in providing relief from stuffy nose due to common cold or allergies. This medicine is for external use only. You should use it in a dose and duration as advised by your doctor. Before using this medicine, check the label. You have to tilt your head as far back as possible. Hold the dropper close to the nose. Make sure that you do not touch the nozzle. Squeeze the dropper gently so that the medicine gets placed in the nose. After few minutes, you can bend your head forward. Inform your doctor if you are on any medication or are allergic to this medication. Also, inform your doctor if you are pregnant or breastfeeding. Please consult your doctor, if you miss any dose.

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Uses of Normal Saline (Salpac) 2000ml IV
Side effects of Normal Saline (Salpac) 2000ml IV
Common
No common side effects seen
How to use Normal Saline (Salpac) 2000ml IV
Use it as advised by your doctor or check the label for directions before use.
How Normal Saline (Salpac) 2000ml IV works
Normal Saline (Salpac) 2000ml IV is a purified salt solution. It moisturizes the inner surface of the nose and helps relieve stuffy nose due to common cold or allergies.
What if you forget to take Normal Saline (Salpac) 2000ml IV?
If you miss a dose of Normal Saline (Salpac) 2000ml IV, please consult your doctor.
Quick Tips
The right way to use the nasal spray:
Avoid deep breathing as it will cause the medication to go back to the throat and make it less effective.
Do not share the bottle with anyone else so that you do not spread germs.
Brief Description
Indication
Dehydration, Excessive sweating, Water and electrolyte imbalance, Metabolic alkalosis, Diluting or dissolving drugs. Intra-ocular or topical irrigation during surgical procedure. Dry nasal membranes including dry or irritated nose resulting from cold and allergy medications. Removing thick fluid in the nose passages.

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Adult Dose
Adult: IV Replacement of fluid and electrolytes As 0.9% soln: Dosage depends on age, wt, clinical condition and laboratory determinations of the patient. Hypernatraemia As 0.9% soln: Dosage depends on age, wt, clinical condition and laboratory determinations of the patient. Irrigation Irrigation of the bladder, eye, general skin and wound cleansing As 0.9% soln: Use as directed. Eye drop: 1 drop in the affected eye (s) every 3 or 4 hours or as directed by a physician. Nasal drop: Nasal congestion As 0.9% soln: Infants, children & adults : 2 drops in each nostril, 1-4 times a day

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Child Dose
Child IV Replacement of fluid and electrolytes As 0.9% soln: Dosage depends on age, wt, clinical condition and laboratory determinations of the patient. Hypernatraemia As 0.9% soln: Dosage depends on age, wt, clinical condition and laboratory determinations of the patient. Irrigation Irrigation of the bladder, eye, general skin and wound cleansing As 0.9% soln: Use as directed. Eye drop: 1 drop in the affected eye (s) every 3 or 4 hours or as directed by a physician. Nasal drop: Nasal congestion As 0.9% soln: Infants, children & adults : 2 drops in each nostril, 1-4 times a day

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Contraindication
Conditions whereby admin of sodium chloride would be detrimental. Not to be used to induce emesis. Sustained release tablets: GI disorders associated with strictures or diverticula.
Mode of Action
Sodium chloride is the major extracellular cation. It is important in electrolyte and fluid balance, osmotic pressure control and water distribution as it restores sodium ions. It is used as a source of electrolytes and water for hydration, treatment of metabolic acidosis, priming solution in haemodialysis and treatment of hyperosmolar diabetes. It is also used as diluents for infusion of compatible drug additives. Nasal Preparation: It moisturizes the nose, helps to dissolve and loosen thick mucus.

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Precaution
Hypertension, heart failure, peripheral or pulmonary oedema, impaired renal function, liver cirrhosis, preeclampsia. Maintain adequate water intake. Pregnancy. Inj of 3 or 5% sodium chloride solution should be given via a large vein at a rate not exceeding 100 ml/hr. Monitor fluid balance, serum electrolytes and acid base balance espcially during prolonged treatment. Caution when used in patients who are receiving corticosteroids or corticotropin. Nasal prep: If baby begin to cough after applying this drug, allow him to sit up or help him to sit.

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Side Effect
Hypernatraemia; thirst, reduced salivation and lachrymation, fever, tachycardia, hypertension, headache, dizziness, restlessness, irritability and weakness. Burning or irritation of the eye may occur temporarily when first applied. Other side effects are redness, pain, swelling in or around the eyes, sensitivity to light, and headache. Potentially Fatal: Intra-amniotic inj of hypertonic solutions: Disseminated intravascular coagulation, renal necrosis, cervical and uterine lesions, pulmonary embolism, pneumonia and death.

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Interaction
May affect serum concentrations of lithium.