Why Is Normal Saline Bad

Adverse effects of normal saline may occur secondary to solution or technique of administration. These effects include febrile response, infection at the site of injection, venous thrombosis or phlebitis extending from the site of injection, extravasation, and hypervolemia.

When should you not use normal saline?

2. Normal saline worsens acidosis & coagulopathy. Most prehospital medical providers are well-versed on the three main concerns of significant hemorrhage, also known as the “lethal triad,” metabolic acidosis, coagulopathy and hypothermia.

What happens if you give too much normal saline?

Excessive administration of saline may be tolerated by an otherwise healthy patient, but additional acute physiological changes, such as altered perioperative sodium and water metabolism, increased capillary permeability, hypoalbuminaemia, and impaired pulmonary mechanics, increase the risk of symptomatic respiratory …