sodium bicarbonate 7.5 - 8.4%

Question 1

Class for sodium bicarbonate

Answer 1

Alkalizing agent

Question 2

Standard supply for sodium bicarbonate

Answer 2

Prefilled syringe

Question 3

MOA for sodium bicarbonate

Answer 3

Buffers metabolic acidosis

Increases the pH of blood and urine

Question 4

Indications for sodium bicarbonate

Answer 4

Pre-existing or known metabolic acidosis
Acidosis refractory to effective ventilation
Salicylate overdose
Tricyclic antidepressant overdose
Hyperkalemia
Prolonged cardiac arrest
Crush syndrome

Question 5

Contraindication for sodium bicarbonate

Answer 5

None in the emergency setting

Question 6

Adverse reactions to sodium bicarbonate

Answer 6

Extravasation may cause tissue necrosis

Question 7

Routes of administration for sodium bicarbonate

Answer 7

IV

IO

Question 8

Onset/Peak/Duration for sodium bicarbonate

Answer 8

O: Immediate
P: < 15 minutes
D: 1-2 hours

Question 9

Adult dosages for sodium bicarbonate

Answer 9

1 mEq/kg

May repeat the dose 0.5 mEq/kg every 10 minutes

Question 10

Pediatric dosages for sodium bicarbonate

Answer 10

1 mEq/kg

May repeat the dose 0.5 mEq/kg every 10 minutes

Question 11

Special considerations for sodium bicarbonate

Answer 11

Must be used in conjunction with effective ventilation