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