Sodium Bicarbonate

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PA Dept. of Health - June 1, 2013 (Protocol Doses) Pharmacology for the Prehospital Professional - Jeffrey S. Guy
John Igoe
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John Igoe
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Sodium Bicarbonate (Classification) Electrolyte replacement.
Sodium Bicarbonate (Action) Counteracts existing acidosis.
Sodium Bicarbonate (Indications) Acidosis. Intoxication with barbiturates, salicylates and methyl alcohol.
Sodium Bicarbonate (Adverse Effects) Metabolic alkalosis, hypernatremia, injection site reaction, sodium and fluid retention and peripheral edema.
Sodium Bicarbonate (Contraindications) Metabolic alkalosis and hypocalcemia.
Sodium Bicarbonate (Metabolic Acidosis - Cardiac Arrest) (Adult Dose) 1 mEq/kg slow IV, IO. May repeat at 0.5 mEq/kg in 10 minutes.
Sodium Bicarbonate (Metabolic Acidosis - Cardiac Arrest) (Pedi Dose) Same as adult. 1 mEq/kg slow IV, IO. May repeat at 0.5 mEq/kg in 10 minutes.
Sodium Bicarbonate (Metabolic Acidosis - Tricyclic Overdose) (Adult Dose) 1 mEq/kg IV, IO.
Sodium Bicarbonate (Metabolic Acidosis - Tricyclic Overdose) (Pedi Dose) 1mEq/kg IV, IO.
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