Approved Hospital Formulary
Add Formweb to your mobile device
Approved Hospital Formulary
Search results for:
sodium chloride
sodium chloride
- Formulary Miscellaneous Programs
- Restricted 23.4% - Neurosurgery, Neurology, Nephrology, Trauma Surgery and Adult & Pediatric Intensivists
| Drug Name | Form | Strength | Formulary Unrestricted | Formulary Restricted | Non-Formulary | Interchange |
|---|---|---|---|---|---|---|
| Sodium Chloride | SOLUTION, INHALATION | 0.9% | ||||
| Sodium Chloride | SOLUTION, INHALATION | 3% | ||||
| Hyper-Sal, PulmoSal | SOLUTION, INHALATION | 7% | ||||
| Sodium Chloride | SOLUTION, INJECTABLE | bacteriostatic 0.9%, 0.9% | ||||
| Sodium Chloride | SOLUTION, INTRAVENOUS | 3% (hypertonic) | ||||
| sodium chloride | SOLUTION, INTRAVENOUS | 23.4% (hypertonic) | ||||
| Sodium Chloride | SOLUTION, ORAL | 23.4% (4 mEq/mL) | ||||
| Sodium Chloride | TABLET, ORAL | 1000 mg |
High Alert Drug
: Policy
Last updated: Mar. 22, 2024
Concentrated NaCl (>0.9%) injection is a HIGH-RISK/HIGH-ALERT drug
Sodium chloride 3% for hyponatremia is restricted to physicians (excluding interns/residents) with the exception of nurse practitioners and physician assistants specialized in nephrology, pediatric critical care, or neonatal critical care. Initiation of sodium chloride 3% should not be delayed awaiting nephrologist consult/approval. Nephrologists should be consulted for management of hyponatremia upon initiation of 3% saline orders (automatic consult). For hyponatremia, orders include a specific volume (maximum = 500 mL) and a specific infusion rate (maximum = 50 mL/hour). Sodium Chloride 3%, for hyponatremia, may NOT be titrated by nursing. Each rate change requires a new order from the provider.
Prescribing of hypertonic sodium chloride (> 0.9%) for the management of elevated intracranial pressure is restricted to Neurosurgery, Neurology, Nephrology, Trauma Surgery and Adult & Pediatric Intensivists.
Hypertonic Saline Infusion Guidelines
3% Saline Guidelines Education for Pharmacists
Normal Saline 10 mL vials are not stocked in Pharmacy. Supplied by Central Supply / Logistics.
Reviewed: February 22, 2011 (HYPER-SAL), and 23 February 2016 (hypertonic sodium chloride IV), 24/ July 2020 (NS 10 mL vials not stocked)