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SODIUM BICARBONATE (NaHCO3)

Name/Class: SODIUM BICARBONATE (NaHCO3)/Alkalizing Agent

Description: Sodium bicarbonate provides vascular bicarbonate to assist the buffer system in reducing the effects of metabolic acidosis and in the treatment of some overdoses.

Indications: Tricyclic antidepressant and barbiturate overdose, refractory acidosis, or hyperkalemia.

Contraindications: None when used in severe hypoxia or late cardiac arrest.

Precautions: May cause alkalosis if given in too large a quantity. It may also deactivate vasopressors and may precipitate with calcium chloride.

Dosage/Route: 1 mEq/kg IV, then 0.5 mEq/kg/10 min.

Pedi: same as adult (may be given IO).




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