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12 Cards in this Set

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Name
Sodium Barcarbonate
Class
Alkalinizing agent; Buffer
Action (1-3)
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
Use
1)Prolonged cardiac arrest for severe acidotic states.
2)TCA overdose
3)Hyperkalemia
Side effects
CNS: Seizures
Cardiovascular: ARrhythmias; CHF; Fluid retention
Other: Metabolic alkalosis
Contraindications
Absolute: Metabolic alkalosis
Relative: none in the emergency setting
Precautions
1) admininstration can result in hypercalcemia
2) studies have shown the developement of cellular acidosis in hyporperfusion states
Drug interactions
1) tissue necrosis upon extravasation
2) catecholamines and calcium solutions precipitate in sodium bicarb so do not administer with Calcium, will clog IV
Preparations:
50 mEq/50ml 8.4% preload (adult) and 5mEq/10ml 4.2% preload (pedi)
Adult dose
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
Pedi dose
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
Route
IV