Sodium Bicarbonate Flashcards
1
Q
Drug Classification
A
Alkalinizing agent/electrolyte
2
Q
Mechanism of Action
A
Alkaline agent that buffers excess H+
H2O+CO2H2CO3H+ + HCO3-
3
Q
Pharmacokinetics
A
- Onset of Action- 0 minutes (immediate)
- Peak Effects- <15 minutes
- Duration of Effects- 1-2 hours
- Half-Life- N/A
4
Q
Indications/Field Use
A
- metabolic acidosis secondary to overdose (ASA,TCA)
- Cardiac Arrest with known or suspected hyperkalemia (dialysis pt)
5
Q
Contraindications
A
Respiratory Acidosis
6
Q
Side Effects
A
None in emergency setting
7
Q
Dose
A
1 mEq/kg (initial) IV/IO
mEq=milliequivalent, is the unit of measure for electrolytes
8
Q
Precautions
A
Causes metabolic alkalosis when administered in large quantities
9
Q
Drug-Drug interactions
A
- Deactivates catecholamines and vasopressors
- Reacts with CaCl2 to form PPT(in IV tubing)
