Sodium Bicarbonate

Question 1

Sodium bicarbonate Trade Name?

Answer 1

N/A

Question 2

Sodium bicarbonate Classification?

Answer 2

Alkalinizing agent

Question 3

Sodium bicarbonate Mechanism?

Answer 3

Dissolves after adminstation increasing plasma bicarbonate levels which consumes excess hydrogen items to become carbonic acid. This buffering that a theraputic effect of raising solution pH.

Question 4

Sodium bicarbonate Indications?

Answer 4

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

Question 5

Sodium bicarbonate Contraindications?

Answer 5

• Metabolic alkalosis
• Hypokalemia

Question 6

Sodium bicarbonate Side Effects/Precautions?

Answer 6

• Hypernatremia
• Metabolic alkalosis

Question 7

Sodium bicarbonate Adult Dose?

Answer 7

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

Question 8

Sodium bicarbonate Pediatric Dose?

Answer 8

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 9

Sodium bicarbonate Onset of Action?

Answer 9

A few seconds

Question 10

Sodium bicarbonate Duration of Action?

Answer 10

10 minutes

Question 11

Sodium bicarbonate Max Dose Adult/Pediatric?

Answer 11

None in an emergency setting

Question 12

Sodium bicarbonate Routes of Administration?

Answer 12

IV/IO

Question 13

Sodium bicarbonate How Supplied?

Answer 13

0.5mEq/ml prefilled syringes