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10 Cards in this Set
- Front
- Back
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classification
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Alkalinizing agent, Antidote
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action
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Binds with hydrogen atoms to form carbonic acid. Neutralizes excess buildup of acids. Assists in restoring normal PH
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indications
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Prolonged cardiopulmonary arrest with suspected: Hyperkalemia (renal patients)
Tricyclic antidepressant overdose Crush syndrome with suspected hyperkalemia |
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contraindications
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none in emergency setting
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adverse affects
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Respiratory: pulmonary edema
Metabolic: alkalosis, hypokalemia, hypocalcemia, tissue acidosis Neurological: headache, confusion, seizures, tetany |
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administration
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Cardiac Arrest: 1mEq/kg- IV/IO. May repeat 0.5 mEq/kg in 10-15 minutes
Crush Syndrome: 1mEq/kg added to first 1000ml NS. |
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pediatrics
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1mEq/kg slow IV/IO at 10ml/minute. May repeat 0.5 mEq/kg every 10-15 minutes.
Crush Syndrome: same as adult |
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onset
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immediate
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duration
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1-2 hours
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precautions
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May cause tissue necrosis (verify IV patency).
Flush line prior to administration: -percipitates with calcium chloride. -Inactivates catecholimines |
