Sodium Bicarb

Question 1

Bicarb: Generic Name

Answer 1

Sodium Bicarbonate

Question 2

Bicarb: Trade Name

Answer 2

Sodium Bicarbonate

Question 3

Bicarb: Class

Answer 3

Alkalizing agent, buffer

Question 4

Bicarb: Action

Answer 4

• buffer excess buildup of hydrogen ions
• ↑ pH levels
• Provides vascular bicarbonate to assist the buffer system in reducing the effect of metabolic acidosis and in the Rx of some OD

Question 5

Bicarb: Indications

Answer 5

• Metabolic acidosis from circulatory insufficiency from shock of severe dehydration
• ASA OD
• Prolonged cardiac arrest
• Tricyclic OD
• Known hyperkalemia
• Crush injuries
• Phenobarbital OD

Question 6

Bicarb: Contraindications

Answer 6

Metabolic or respiratory alkalosis, electrolyte imbalance from vomiting or diarrhea, known hypokalemia

Question 7

Bicarb: S. E.

Answer 7

Extravasation of IV may cause chemical cellulits with tissue necrosis. Gastric distention, gas, hypokalemia, alkalosis.

Question 8

Bicarb: How supplied

Answer 8

Prefilled syringe 8.4% solution (50-mEq/50mL)

Question 9

Bicarb: Adult dose

Answer 9

1 mEq/kg IV/IO repeat dose q 10m (8.4% solution)

Question 10

Bicarb: Pedi dose

Answer 10

1 mEq/kg IV/IO

- Use 4.2% solution for infants

Question 11

Bicarb: Precaution

Answer 11

Not recommended for routine use in cardiac arrest. Inactivates nor-epi and dopamine; forms a precipitate with calcium. Use caution with elderly with renal/cardiac failure with or without CHF. PRN in tricyclic OD until QRS narrows