Sodium Bicarbonate Flashcards
1
Q
Sodium Bicarbonate
Class
A
Electrolyte
2
Q
Sodium Bicarbonate
Action
A
Buffer
Neutralizes excessive acids (increase pH)
3
Q
Sodium Bicarbonate
Indication
A
Metabolic acidosis Cardiac arrest followed by return spontaneous circulation Tricyclic antidepressant (TCA) OD Hyperkalemia (excessive K)
4
Q
Sodium Bicarbonate
Dose/route
A
1 mEq/kg rapid IVP followed by 0.5 mEq/kg q 10 min.
5
Q
Sodium Bicarbonate
Peds dose
A
Same as adult
6
Q
Sodium Bicarbonate
Onset
A
Immediate IV
7
Q
Sodium Bicarbonate
Contra
A
None in life threatening emergencies
8
Q
Sodium Bicarbonate
Adverse effects
A
CV: increases intravascular volume, metabolic alkalosis
9
Q
Sodium Bicarbonate
Precautions
A
Hyperventilate to blow off excess Co2
Sodium and fluid overload are possible
Incompatible w/ calcium, atropine and catecholamines
Flush IV tubing between each drug
10
Q
Sodium Bicarbonate
Supplied
A
100 mEq/ 50 cc preload
