Sodium Bicarbonate Flashcards
1
Q
Class
A
Buffer
Alkalinizer
2
Q
Mechanism of Action
A
Reacts with hydrogen ions to form water and carbon dioxide therby acting as a buffer for metabolic acidosis
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
4
Q
Contraindications
A
Metabolic and respiratory alkalosis
Hypocalcemia and hypokalemia
Hypochloremia secondary to GI loss and vomiting
5
Q
Adult Dose
A
1 mEq/kg IV/IO
Repeat with 0.5 mEq/kg every 10 minutes
6
Q
Pediatric Dose
A
Refer to length/weight based tape
7
Q
Pregnancy Category
A
C
8
Q
A