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teex sodium bicarbonate
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Sodium Bicarbonate Class
Alkalinizing Agent
Sodium Bicarbonate Actions
1. Neutralizes excess acids
2. Increases PH
Sodium Bicarbonate Indications
1. Metabolic Acidosis (a) poisoining
: ethylene glycol, asa (b) tricyclic antidepressant overdose (c) severe acidosis of any origen verified by ABG's
2. Hyperkalemia
3. promote excretion of barbituates
4. promote excretion of myoglobin after crush injury or electricution
5. Status asthmaticus
6. prolonged CPR
Sodium Bicarbonate Contraindications
1. hypokalemia
2. CHF
Sodium Bicarbonate Precautions
1. corrective dosage essential to avoid elevating PH to high
2. deactivates catecholamines (don't mix with epi in arrest)
3. precipitates with calcium
4. delivers large sodium load
Sodium Bicarbonate Side Effect
1. alkalosis
2. increased vascular volume (hypertonic) resulting in pulmonary edema
3. hypokalemia and dysrhythmias
4. can transiently increase PaCO2
Sodium Bicarbonate Dosage
1 mEq / kg followed by .5 mEq / kg every 10 minutes as indicated by blood gasses
Sodium Bicarbonate Route
IV
Sodium Bicarbonate How supplied
prefilled syringe
: Adult: 50mEq / 50ml
Pediatric
: 10mEq / 10ml
Sodium Bicarbonate Pediatric Dosage
1 mEq / kg followed by .5mEq / kg every 10 minutes as indicated by blood gasses
Author:
ccs1471
ID:
27130
Card Set:
teex sodium bicarbonate
Updated:
2010-07-17 20:11:02
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teex sodium bicarbonate
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teex sodium bicarbonate
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