Sodium Bicarbonate Flashcards

1
Q

Brand Name

A

Sodium Bicarbonate

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2
Q

Drug Class

A

Electrolyte/Alkalinizing Agent

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3
Q

Mechanism of Action

A

NaHCO3 disassociates, HCO3 picks up excess hydrogen ions to form H2CO3
Then breaks apart to H2O and CO2

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4
Q

Indications

A

Acidosis, OD on highly acidic agents, such as TCA’s aspirin, and phenobarbital
Combats hyperkalemia and acidosis seen in crush injuries

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5
Q

Contraindications

A

Alkalosis, hypokalemia, electrolyte imbalances due to severe vomiting or diarrhea

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6
Q

Adverse Effects

A

Hypernatremia, alkalosis, cellulitis or necrosis @ injection site, seizures, fluid retention, hypokalemia, tetany, peripheral edema

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7
Q

Precautions

A

May deactivate sympathomimetics, increase effects of amphetamines, decrease effects of benzodiazepines and TCA’s

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8
Q

Dose and Administration

A

1mEq/kg slow IVP

May repeat @ 10 mins @0.5mEq/kg

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