Sodium Bicarbonate Flashcards

1
Q

Sodium Bicarbonate- Name

A

NaHCO3

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2
Q

Sodium Bicarbonate- Class

A

Alkalinizing Agent

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3
Q

Sodium Bicarbonate- MoA

A

Increases blood pH by neutralizing excess buildup of acids

Decreases precipitation of myoglobin in renal tubules

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4
Q

Sodium Bicarbonate- Indication

A

Cardiopulmonary Arrest with:

 a. unsuccessful drug therapy and defibrillation
 b. suspected hyperkalemia (elevated potassium in dialysis patients)

Crush syndrome or crush injury greater than 4 hours

Suspected tricyclic overdose (acidosis) with cardiac dysrhythmias

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5
Q

Sodium Bicarbonate- Contra

A

None

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6
Q

Sodium Bicarbonate- S/E

A

Neurological: headache, confusion, tetany (intermittent tonic spasms), seizures

Respiratory: pulmonary edema

Other: metabolic alkalosis, hypokalemia, hypocalcemia, tissue acidosis

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7
Q

Sodium Bicarbonate- Routes

A

IV, IO

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8
Q

Sodium Bicarbonate- A. Dose

A

1 mEq/kg IV/IO

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9
Q

Sodium Bicarbonate- P. Dose

A

1 mEq/kg IV/IO

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10
Q

Sodium Bicarbonate- EXTRAS

A

Precautions: Use with caution in patients with CHF

Administer for crush syndrome prior to removal of entrapped patient

Interactions: Flush IV before and after administration as it will precipitate with calcium chloride and inactivates catecholamines

Onset is immediate and may last 1-2 hours

Verify IV patency before administration as it will cause tissue necrosis

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