Sodium Bicarbonate Flashcards

1
Q

Class

A

Buffer

Alkalinizer

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2
Q

Mechanism of Action

A

Reacts with hydrogen ions to form water and carbon dioxide therby acting as a buffer for metabolic acidosis

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3
Q

Indications

A

Known pre-existing bicarbonate-responsive acidosis

TCA Overdose

Prolonged downtime during cardiac arrest

Hyperkalemia

Phenobarbital Overdose

Alkalization for treatment of specific intoxications

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4
Q

Contraindications

A

Metabolic and respiratory alkalosis

Hypocalcemia and hypokalemia

Hypochloremia secondary to GI loss and vomiting

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5
Q

Adult Dose

A

1 mEq/kg IV/IO

Repeat with 0.5 mEq/kg every 10 minutes

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6
Q

Pediatric Dose

A

Refer to length/weight based tape

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7
Q

Pregnancy Category

A

C

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8
Q
A
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