Sodium Bicarbonate

Question 1

Sodium Bicarbonate- Name

Answer 1

NaHCO3

Question 2

Sodium Bicarbonate- Class

Answer 2

Alkalinizing Agent

Question 3

Sodium Bicarbonate- MoA

Answer 3

Increases blood pH by neutralizing excess buildup of acids

Decreases precipitation of myoglobin in renal tubules

Question 4

Sodium Bicarbonate- Indication

Answer 4

Cardiopulmonary Arrest with:

 a. unsuccessful drug therapy and defibrillation
 b. suspected hyperkalemia (elevated potassium in dialysis patients)

Crush syndrome or crush injury greater than 4 hours

Suspected tricyclic overdose (acidosis) with cardiac dysrhythmias

Question 5

Sodium Bicarbonate- Contra

Answer 5

None

Question 6

Sodium Bicarbonate- S/E

Answer 6

Neurological: headache, confusion, tetany (intermittent tonic spasms), seizures

Respiratory: pulmonary edema

Other: metabolic alkalosis, hypokalemia, hypocalcemia, tissue acidosis

Question 7

Sodium Bicarbonate- Routes

Answer 7

IV, IO

Question 8

Sodium Bicarbonate- A. Dose

Answer 8

1 mEq/kg IV/IO

Question 9

Sodium Bicarbonate- P. Dose

Answer 9

1 mEq/kg IV/IO

Question 10

Sodium Bicarbonate- EXTRAS

Answer 10

Precautions: Use with caution in patients with CHF

Administer for crush syndrome prior to removal of entrapped patient

Interactions: Flush IV before and after administration as it will precipitate with calcium chloride and inactivates catecholamines

Onset is immediate and may last 1-2 hours

Verify IV patency before administration as it will cause tissue necrosis