Sodium Bicarbonate

Question 1

Sodium Bicarbonate trade name

Answer 1

Sodium Bicarbonate

Question 2

Sodium Bicarbonate class

Answer 2

Alkalizing agent/ electrolyte

Question 3

Sodium Bicarbonate MOA

Answer 3

Metabolic acidosis alkaline electrolyte that buffers excess H+
Sodium channel blocker OD replacement of elemental sodium. Increase extracellular sodium concentration to overcome sodium channel blockade
Increased rate of depolarization of pacemaker and non pacemaker cells to return to sinus pacing

Question 4

Sodium Bicarbonate Onset/ duration

Answer 4

Onset- immediate
Duration 1-2 hours

Question 5

Sodium Bicarbonate indications

Answer 5

Sodium channel blocker overdose with wide QRS > .10
Aspirin Overdose
Cardiac Arrest with known or suspected hyperkalemia
Crush Syndrome
Prior to intubation of suspected DKA

Question 6

Sodium Bicarbonate contraindications

Answer 6

Hypersensitivity to medication

Question 7

Sodium Bicarbonate side effects

Answer 7

None

Question 8

Sodium Bicarbonate dose

Answer 8

Adult- 2mEq/kg IV/IO
PED 2 mEq/kg IV/IO