Master of Science in Nursing Evidence-Based Practice Projects

Date Degree Awarded

8-2013

Document Type

Project

Degree Name

Master of Science in Nursing (M.S.N.)

School

Nursing

Committee Chair

Rachel Parrill, Ph.D., M.S., RN

Second Committee Member

Amy Voris, D.N.P, RN, CNE

Third Committee Member

Chu-Yu Huang, Ph.D., RN

Keywords

Normal Saline, Human Albumin, hypovolemia, hypotension

Abstract

Problem: 5% human albumin is used very frequently in the hospital setting with hypotensive post-surgical patients. There are associated risks with the use of human albumin and it has been shown that normal saline is at least as effective in treating extreme hypotension in this patient population.

Significance: Associated risks that are present with the use of human albumin may be equal to those of the risks of whole blood transfusions. In addition weight gain and fluid retention are complications associated with the use of human albumin versus the use of normal saline. Furthermore, human albumin costs $40.59 more than normal saline solution.

Methods: Literature review and the IOWA Model.

Results: Patients who are not at risk for post-perfusion syndrome, pulmonary hypertension, on strict intake and output regulation, or increased vascular permeability and are experiencing hypotension secondary to hypovolemia post-operatively would benefit from normal saline as a first line therapy.

Key words: hypotension, fluid resuscitation, fluid loss, hypovolemia, cost, safety, post-operative, colloid, crystalloid, human albumin, 5% albumin, normal saline, saline

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.