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Saline solution for irrigation. Normal saline (NSS, NS or N/S) is the commonly used phrase for a solution of 0.90% w/v of NaCl, 308 mOsm/L or 9.0 g per liter. Less commonly, this solution is referred to as physiological saline or isotonic saline (because it is approximately isotonic to blood serum, which makes it a physiologically normal solution).
Guidelines recommend against the use of nebulized hypertonic saline in the emergency department for children with bronchiolitis but it may be given to children who are hospitalized. [9] [15] Nebulized hypertonic saline (3%) has limited evidence of benefit and previous studies lack consistency and standardization.
Isotonic solutions have the same salt concentration as the human body, whereas hypertonic solutions have a higher salt content and hypotonic solutions have a lower salt content. Isotonic saline nasal sprays are commonly used in infants and children to wash out the thick mucus from the nose in case of allergic rhinitis .
Nasal irrigation (also called nasal lavage, nasal toilet, or nasal douche) is a personal hygiene practice in which the nasal cavity is washed to flush out mucus and debris from the nose and sinuses, in order to enhance nasal breathing.
Hypertonic saline solution has been choice of neuro critical care for the past few years. [1] Hypertonic Saline solution used varies and could be 3%, 7.5%, 10%, or 24.3% saline solution. [ 5 ] When Hypertonic Solution is administered, the dosage is 2 g/kg.
[3] [4] It is used to treat the symptoms of chronic obstructive pulmonary disease (COPD) and asthma. [3] It is used by inhaler or nebulizer. [3] Onset of action is typically within 15 to 30 minutes and lasts for three to five hours. [3] The nasal spray prevents the glands in the nose from producing large amounts of fluid.
[49] [50] When nebulized, budesonide has an bioavailability of 6% and reaches C max within 1–3 hours. [50] [49] When formulated as a rectal foam, budesonide has an bioavailability of 3% to 27% and reaches C max around 1.5 hours. [51] The plasma protein binding of budesonide is around 85-90%, with an apparent volume of distribution of 2.2-3.9L/kg.
This page was last edited on 1 August 2016, at 12:44 (UTC).; Text is available under the Creative Commons Attribution-ShareAlike 4.0 License; additional terms may ...
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