Sodium Bicarbonate

Question 1

Sodium Bicarb Class

Answer 1

Alkalizing agent, Antidote, Electrolyte, PH Buffer

Question 2

Sodium Bicarb Action

Answer 2

Short acting potent acid buffer. Neutralizes excess acid buildup by binding with hydrogen ions to form carbonic acid (a weaker acid) to help restore normal pH; decreases precipitation of myoglobin in renal tubules

Question 3

Sodium Bicarb Indications

Answer 3

Tricyclic antidepressant (TCA) overdose, suspected hyperkalemia (dialysis pts) or metabolic acidosis, prolonged cardiac arrest, crush syndrome lasting longer than 4 hours, DKA,

Question 4

Sodium Bicarb Contraindications

Answer 4

Alkalotic states, None in the emergency setting

Question 5

Sodium Bicarb Adult Dose

Answer 5

1 mEq/kg IV

Question 6

Sodium Bicarb Pedi Dose

Answer 6

1 mEq/kg IV

Question 7

Sodium Bicarb Side Effects

Answer 7

Alkalosis, Electrolyte disturbance, Hyperreflexia, Twitching, seizures

Question 8

Sodium Bicarb Onset/Duration

Answer 8

Immediate

1-2 hrs