Sodium Bicarbonate 8.4%

Question 1

Sodium Bicarb: class

Answer 1

Buffer , Alkalinizer

Question 2

Sodium Bicarb: Mechanism of action

Answer 2

Reacts with hydrogen ions to form water and carbon dioxide thereby acting as a buffer for metabolic acidosis.

Question 3

Sodium Bicarb: Indications

Answer 3

Known pre-existing bicarbonate-responsive acidosis.
Upon return of spontaneous circulation after long arrest interval.
TCA overdose
Hyperkalemia
Phenonbarbital Overdose
Alkalinization for treatment of specific intoxications.

Question 4

Sodium Bicarb: Dosage and administration

Answer 4

Adult/Pedi: 1mEq/kg IV, may repeat with 0.5mEq /kg every 10min
Adult/pedi infusion: 1-4 amps in 1 liter of NS. (rate per physician)