Sodium Bicarbonate

Question 1

Sodium bicarbonate Trade Name?

Answer 1

N/A

Question 2

Sodium bicarbonate Indications?

Answer 2

• Metabolic acidosis during cardiac arrest
• Tricyclic antidepressant overdose
• Hyperkalemia
• Crush injuries

Question 3

Sodium bicarbonate Contraindications?

Answer 3

• Metabolic alkalosis
• Hypokalemia

Question 4

Sodium bicarbonate Adult Dose?

Answer 4

2 mEq/kg IV/IO
Repeat at 0.5mEq/kg IV/IO every 10 minutes

Question 5

Sodium bicarbonate Pediatric Dose?

Answer 5

Cardiac Arrest:

Infant - 2 years: (use 4.2% solution)
Initial: 1 mEq/kg/min given over 1-2 minutes IV/IO, THEN
1 mEq/kg IV q10min of arrest

Other conditions N/A in the field.
*medscape

Question 6

Sodium bicarbonate Max Dose Adult/Pediatric?

Answer 6

None in an emergency setting