Sodium Bicarbonate Flashcards

1
Q

Drug Classification

A

Alkalinizing agent/electrolyte

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2
Q

Mechanism of Action

A

Alkaline agent that buffers excess H+

H2O+CO2H2CO3H+ + HCO3-

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3
Q

Pharmacokinetics

A
  • Onset of Action- 0 minutes (immediate)
  • Peak Effects- <15 minutes
  • Duration of Effects- 1-2 hours
  • Half-Life- N/A
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4
Q

Indications/Field Use

A
  • metabolic acidosis secondary to overdose (ASA,TCA)

- Cardiac Arrest with known or suspected hyperkalemia (dialysis pt)

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5
Q

Contraindications

A

Respiratory Acidosis

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6
Q

Side Effects

A

None in emergency setting

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7
Q

Dose

A

1 mEq/kg (initial) IV/IO

mEq=milliequivalent, is the unit of measure for electrolytes

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8
Q

Precautions

A

Causes metabolic alkalosis when administered in large quantities

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9
Q

Drug-Drug interactions

A
  • Deactivates catecholamines and vasopressors

- Reacts with CaCl2 to form PPT(in IV tubing)

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