Sodium Bicarbonate

Question 1

Pharm and Actions

Answer 1

An alkalotic solution which neutralizes acids found in the body; Acidosis depresses contractility, and the cardiac response to catacholamine and makes the heart more likely to fibrillate

Question 2

Indications

Answer 2

To reverse acidosis found during cardiac arrest or near-drowning victims; Make the heart more receptive to conversion from VF, asystole, PEA by normalizing the PH; For alkalinization of urine in certain poisonings and overdoses

Question 3

Contraindications

Answer 3

None noted

Question 4

Administration

Answer 4

Adult/Ped- 1 mEq/kg initially, followed by 0.5 mEq/kg every 10 minutes

Question 5

Side Effects and Special Notes

Answer 5

Should not be given with a catacholomine or calcium; May increase cerebral acidosis, especially in diabetics who are ketotic; Metabolic alkalosis which is impossible to reverse; Not for respiratory arrest w/ a pulse, only for cardiac arrest

Question 6

Class

Answer 6

A