SODIUM BICARBONATE

Question 1

CLASS

Answer 1

BUFFER, ALKALINZNG AGENT, ELECTROLYE SUPPLEMENT

Question 2

DESCRIPTION

Answer 2

REACTS WITH HYDROGEN IONS TO FORM WATER AND CARBON DIOXIDE, THEREBY BUFFERING METABOLIC ACIDOSIS. AS THE PLASMA HYDROGEN ION CONCENTRATION DECREASES, BLOOD PH RISES

Question 3

ONSET AND DURATION

Answer 3

ONSET: RAPID
DURATION: 8-10 MINUTES

Question 4

INDICATIONS

Answer 4

-TRICYLIC ANITDEPRESSANT OVERDOSE
-KNOWN PREEXISTING HYPERKALEMIA
-KNOWN PREEXISTING BICARBONATE RESPONSIVE ACIDOSIS
-MANAGEMENT OF METABOLIC ACIDOSIS
-DIABETIC KETOACIDOSIS

Question 5

CONTAINDICATIONS

Answer 5

NOT EFFECTIVE IN HYPERCARBIC ACIDOSIS
CHLORIDE LOSS OF VOMITING AND GI SUCTION
ALKALOSIS
SEVERE PULMONARY EDEMA
ABD PAIN OF UNKNOWN ORIGIN
HYPOCALCEMIA
HYPOKALEMIA
HYPERNATREMIA
HYPERSENSITIVITY

Question 6

ADVERSE REACTIONS

Answer 6

-METABOLIC ALKALOSIS
-HYPOXIA
-RISE IN INTRACELLULAR PARTIAL PRESSURE OF CARBON DIOXIDE AND INCREASED TISSUE ACIDOSIS
-ELECTOLYTE IMBALANCE
-HEART FAILURE EXACERBATION
-SEIZURES
-TISSUE SLOUGHING AT INJECTION SITE

Question 7

DRUG INTERACTIONS

Answer 7

-MAY PRECIPITATE IN CALCIUM SOLUTIONS
-ALKALIZATION OF URINE MAY SHOREN ELIMINATION HALF LIVES OF CERTAIN DRUGS
-VASOPRESSORS MAY BE DEACTIVATED

Question 8

HOW SUPPLIED

Answer 8

50 MEQ IN 50 ML; 0.5,0.6 MEQ/ML

Question 9

DOSAGE AND ADMINISTRATION

Answer 9

1 MEQ/KG IV

Question 10

SPECIAL CONSIDRATIONS

Answer 10

-PREGNANCY SAFTEY- CATEGORY C
-NOT RECOMMENDED FOR ROUTINE USE IN PT WITH CARDIAC ARREST
-BLOOD GAS ANALYSIS SHOULD GIUDE BICARB ADMINISTRATION
- BICARB PRODUCES CO2 WHICH CROSSES CELL MEMBRANE MORE RAPIDLY THAT DOES BICARB
- SODIUM BICARB MAY WORSEN HEART FAILURE
- MAINTAIN ADEQUATE VENTILATION