Sodium Bicarbinate

Question 1

Sodium Bicarbonate:class

Answer 1

bufferalkalanizing agentelectrolyte supplement

Question 2

Sodium Bicarbonate:route

Answer 2

IV/IO

Question 3

Sodium Bicarbonate:adult dose

Answer 3

1 mEq/kg IVP or IO

Question 4

Sodium Bicarbonate:pedi dose

Answer 4

same as adult

Question 5

Sodium Bicarbonate:drug action

Answer 5

reacts with hydrogen ions to form water and CO2 to buffer metabolic acidosis. as plasma hydrogen ion concentration decreases, blood pH rises.drives serum potasium back into the cellenhances urinary excretion of tricyclicsneutralizes acidosis by reacting with hydrogen ions to form water and carbon dioxide

Question 6

Sodium Bicarbonate:indications

Answer 6

tricyclic antidepressant overdoseprolonged arrest in PEA/Asystole and upon ROSC in prolonged arresthyperkalemic cardiac arrests associated with renal failure or dialysismanagement of metabolic acidosis - DKA, ASA overdose, methanol ingestioncrush injuries

Question 7

Sodium Bicarbonate:precautions

Answer 7

ensure and maintain adequate ventilation to eliminate CO2flush IV line well between all drugsassure IV patency - deactivates many drugs

Question 8

Sodium Bicarbonate:side effects

Answer 8

metabolic alkalosistissue sloughing at site with infiltration

Question 9

Sodium Bicarbonate:drug interactions

Answer 9

sodium bicarbonate may precipitate in calcium solutions, essentially makes chalkalkalization of urine may shorten elimintation half-lives of certain drugsvasopressors may be inactivated

Question 10

Sodium Bicarbonate:contraindications

Answer 10

metabolic/respiratory alkalosissever pulmonary edemanot used routinely in cardiac arrests