Sodium Bicarbonate Flashcards
1
Q
Classification
A
Alkalinizing agent, electrolyte replacement
2
Q
Mechanism of Action
A
- Conteracts exisiting acidosis
3
Q
Indications
A
- Acidosis
- Drug intoxications (barbiturates, salicylates, methyl alcohol)
- Late management of cardiac arrest
- Tricyclic antidepressant OD
- Severe acidosis refractory to hyperventilation
4
Q
Contraindications
A
- Metabolic alkalosis
5
Q
Adverse Effects
A
- Metabolic alkalosis
- Hypernatremia
- Injection site reduction
- Sodium & fluid retention
- Peripheral edema
6
Q
Administration
A
- 1 mEq/kg IV/IO slowly, repeat 0.5 mEq/kg in 10 minutes
7
Q
Special Considerations
A
- Can deactivate catecholamines
- Can precipitate with calcium
- Delivers large sodium load
