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12 Cards in this Set
- Front
- Back
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Name
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Sodium Barcarbonate
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Class
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Alkalinizing agent; Buffer
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Action (1-3)
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1)buffers excess buildup of(H) ions caused from hypoxia
2) increases pH levels 3) increases pH of urine helps speed excretion of drugs from the body |
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Use
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1)Prolonged cardiac arrest for severe acidotic states.
2)TCA overdose 3)Hyperkalemia |
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Side effects
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CNS: Seizures
Cardiovascular: ARrhythmias; CHF; Fluid retention Other: Metabolic alkalosis |
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Contraindications
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Absolute: Metabolic alkalosis
Relative: none in the emergency setting |
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Precautions
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1) admininstration can result in hypercalcemia
2) studies have shown the developement of cellular acidosis in hyporperfusion states |
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Drug interactions
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1) tissue necrosis upon extravasation
2) catecholamines and calcium solutions precipitate in sodium bicarb so do not administer with Calcium, will clog IV |
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Preparations:
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50 mEq/50ml 8.4% preload (adult) and 5mEq/10ml 4.2% preload (pedi)
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Adult dose
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1mEq/kg of an 8.4% solution, rpt every 10min at .5 mEq/Kg prn
Hyperkalemia 1- mEq/kg IV and/or.25mEq/kg/hr infusion |
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Pedi dose
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1mEq/kg of an 8.4% solution, rpt every 10min at .5 mEq/Kg prnnot: use a 4.2% solution for infants less than 3 months
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Route
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IV
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