Sodium Bicarbinate Flashcards

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1
Q

Sodium Bicarbonate:class

A

bufferalkalanizing agentelectrolyte supplement

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2
Q

Sodium Bicarbonate:route

A

IV/IO

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3
Q

Sodium Bicarbonate:adult dose

A

1 mEq/kg IVP or IO

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4
Q

Sodium Bicarbonate:pedi dose

A

same as adult

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5
Q

Sodium Bicarbonate:drug action

A

reacts with hydrogen ions to form water and CO2 to buffer metabolic acidosis. as plasma hydrogen ion concentration decreases, blood pH rises.drives serum potasium back into the cellenhances urinary excretion of tricyclicsneutralizes acidosis by reacting with hydrogen ions to form water and carbon dioxide

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6
Q

Sodium Bicarbonate:indications

A

tricyclic antidepressant overdoseprolonged arrest in PEA/Asystole and upon ROSC in prolonged arresthyperkalemic cardiac arrests associated with renal failure or dialysismanagement of metabolic acidosis - DKA, ASA overdose, methanol ingestioncrush injuries

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7
Q

Sodium Bicarbonate:precautions

A

ensure and maintain adequate ventilation to eliminate CO2flush IV line well between all drugsassure IV patency - deactivates many drugs

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8
Q

Sodium Bicarbonate:side effects

A

metabolic alkalosistissue sloughing at site with infiltration

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9
Q

Sodium Bicarbonate:drug interactions

A

sodium bicarbonate may precipitate in calcium solutions, essentially makes chalkalkalization of urine may shorten elimintation half-lives of certain drugsvasopressors may be inactivated

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10
Q

Sodium Bicarbonate:contraindications

A

metabolic/respiratory alkalosissever pulmonary edemanot used routinely in cardiac arrests

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