Exploration of Peripheral Intravenous Access with Continuous or Bolus Infusion of 3% NaCl

Hypertonic saline (3% NaCl) is commonly used in the treatment of neurologic emergencies or acute severe hyponatremia in hospitalized patients; yet limited data exists to guide proper administration. Clinical opinions vary on the concentration of NaCl that can be safely infused through peripheral venous access (PIV). This session will outline the results of a 2-year case study that examined clinical effects of maintaining PIV access following peripheral administration of 3% NaCl.

Learning Outcomes:

At the conclusion of this session, participants will be able to state indications for the use of hypertonic saline and will list factors that can influence maintaining peripheral access.

Denise Harper, MSN, RN, ACNS-BC, CRNI®

CNS, Vidant Medical Center

Denise Harper, MSN, RN, ACNS-BC, CRNI®, has been the Infusion Clinical Nurse Specialist at Vidant Medical Center since 2010. She has over 30 years of experience, including home infusion and various roles in acute care. Denise is a former member of the INS NCOE and was selected into The Great 100 Nurses in NC for 2015. She has published several articles locally and nationally and has delivered podium presentations throughout the country.

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