PreOp Meds: Antacids - Sodium Citrate (Bicitra)

Question 1

What is the mechanism of sodium citrate (Bicitra) ?

Answer 1

• Base + stomach acid = salt, CO₂, and H₂O

Question 2

What is the time of onset for sodium citrate?
How long does it last?
What is the dose?

Answer 2

• Immediate onset
• Loses effectiveness in 30-60min
• 15 - 30 mL PO

Question 3

What is sodium citrate used for and what are it’s downsides?

Answer 3

• Protects against aspiration pneumonia (↑pH)
• Increases gastric volume & increases aspiration risk.