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Implementation Of Hypertonic Saline Sliding Scale Protocol In A Neuroscience Icu, Guillermina A. Nelson

Cohort IX

Cerebral edema, a complication that can occur in acute ischemic or hemorrhagic strokes, can lead to detrimental effects. Hypertonic saline therapy is use to obtain therapeutic hypernatremia to prevent further cerebral edema. In a neuroscience intensive care unit (ICU) setting, patients admitted with acute stroke and at risk for cerebral edema, are treated with hypertonic saline solution and the rate adjustment according to plasma serum sodium results every 4-6 hours. After a 10-day Reflective Practice Log, I gained insight of this issue. After a literature review, approval The University of Texas at El Paso Institutional Review Board (IRB), I started …