Sodium Bicarbonate

Question 1

Sodium Bicarbonate Drug Class

Answer 1

Electrolyte

Question 2

Sodium Bicarbonate Dose

Answer 2

1-2 vials depending on severity of acidosis, repeat blood gas
Pediatric: calculate

Question 3

Sodium Bicarbonate Preparation

Answer 3

50 mEq 8.4% Sodium Bicarbonate in 50 mL vials

Question 4

Sodium Bicarbonate Indications

Answer 4

Metabolic acidosis
BE = < -2.0 without increased pCO2

Question 5

Sodium Bicarbonate Contraindications

Answer 5

Patients losing chloride by vomiting
Diuretics causing hyperchloremic alkalosis
Severe sodium retention and edema

Question 6

Sodium Bicarbonate MOA

Answer 6

Increases plasma bicarbonate, buffers [hydrogen ion], dissociates into Na+ and HCO3-

Question 7

Sodium Bicarbonate Adverse Effects

Answer 7

Hypotension
Alkalosis

Question 8

Sodium Bicarbonate Calculation

Answer 8

(kg x BE x 0.3)/2

Question 9

Sodium Bicarbonate Normal Lab Value

Answer 9

24-31 mEq/L

Question 10

Sodium Bicarbonate and CPB

Answer 10

May be used as cardioplegia additive