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8 Cards in this Set
- Front
- Back
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sodium bicarbonate
Class |
Electrolyte
Alkalinizing Agent |
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sodium bicarbonate
Route |
IV push
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sodium bicarbonate
Dose |
1 mEq/kg
Pediatric: Same as adult |
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sodium bicarbonate
Drug Action |
Drives serum potassium back into the cell
Enhances urinary excretion of tricyclics neutralizes acidosis by reacting with hydrogen ions to form water and carbon dioxide |
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sodium bicarbonate
Indications |
Hyperkalemic cardiac arrests associated with renal failure or dialysis.
Suspected acidosis during cardiac arrests from renal failure/dialysis, methanol ingestion, ASA overdose. Prolonged cardiac arrest. Side QRS or AV block associated with tricyclic anti-depressant overdose. |
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sodium bicarbonate
Precautions |
Ensure and maintain adequate ventilation to eliminate carbon didoxide.
Deactivates many drugs; flush IV line well between all drugs Assure IV patency; refer to Drug Administration Principles. |
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sodium bicarbonate
side effects |
Alkalosis
Tissue sloughing with infliltration Can increase acedosis if good ventilation is not secure. |
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sodium bicarbonate
Contraindications |
Not recommended for routine use in cardiac arrest
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