SODIUM BICARBONATE

Question 1

Dosing: Mix, Bolus and Infusion

Answer 1

1 Amp = 50 mEq Na : 50 mEq HC03

Mix 3 Amp NaHC03 with 1000 cc D5W

Bolus 1 amp

Infusion 75-100 / hr

Question 2

Indications

Answer 2

Temporize Intubation
Cardiac Arrest
TCA Overdose

Question 3

Evidence

Answer 3

BICAR-ICU (2018)
ICU patients with severe metabolic acidosis treated with sodium bicarbonate did not have improvement in all-cause mortality at day 28 or the presence of ≥1 organ failure at day 7