Sodium Bicarbonate

Question 1

Sodium Bicarbonate Class

Answer 1

Electrolyte

Question 2

Sodium Bicarbonate MOA

Answer 2

Intravenous sodium bicarbonate therapy increases plasma bicarbonate, buffers excess hydrogen ion concentration, raises blood pH and reverses the clinical manifestations of acidosis

Question 3

Sodium Bicarbonate Indications (3)

Answer 3

Suspected hyperkalemia due to crush injuries
Cardiac arrest with suspected metabolic acidosis, hyperkalemia, or tricyclic antidepressant overdose
Altered mental status or dysrhythmias with suspected tricyclic overdose

Question 4

Sodium Bicarbonate Contraindications

Answer 4

None

Question 5

Sodium Bicarbonate Adult Cardiac Arrest Dose

Answer 5

50mEq IV

Question 6

Sodium Bicarbonate Pregnancy Classification

Answer 6

B (not harmful to animals, untested in humans)

Question 7

Sodium Bicarbonate Adult Crush Injury Dose

Answer 7

BHO 50mEq IV

Question 8

Sodium Bicarbonate Adult TCA OD Dose

Answer 8

BHO 50mEq IV

Question 9

Sodium Bicarbonate Peds Cardiac Arrest Dose

Answer 9

BHO 1mEq/kg max 50 mEq IV