Sodium Bicarbonate Administration Guidelines

What is the main indication for administering Sodium Bicarbonate in cases of suspected acidosis in cardiac arrest?

Which condition is a contraindication for using Sodium Bicarbonate, particularly in the pediatric population?

What is the concentration of Sodium Bicarbonate typically used for administration?

What is the common adverse effect associated with Sodium Bicarbonate administration?

How does Sodium Bicarbonate function as an alkalinizing agent in the blood?

In what situation would you administer a bolus of 50 mEq (50 mL) of Sodium Bicarbonate followed by a maintenance infusion?

What is the mechanism of action of Sodium Bicarbonate as an alkalinizing agent?

Which electrolyte imbalance is likely to occur as an adverse effect of Sodium Bicarbonate administration?

What is the primary reason for administering Sodium Bicarbonate in cases of tricyclic or phenobarbital overdose?

What is the correct dose for administering Sodium Bicarbonate in cases of crush syndrome?

what is the dose for suspected acidosis in cardiac arrest?

What is the dose for a suspected TCA / Phenobarbital overdose?

A pt was exposed to chlorine gas what is your dose?

Sodium Bicarbonate Use in Cardiac Arrest

Administered in cases of suspected acidosis during cardiac arrest to help restore blood pH levels.
Typical dose for suspected acidosis in cardiac arrest: 1 mEq/kg IV push.
For tricyclic antidepressant (TCA) or phenobarbital overdose, 1-2 mEq/kg is recommended to combat acidosis.

Contraindications

Direct contraindication for Sodium Bicarbonate use is in respiratory acidosis, especially in the pediatric population, due to potential worsening of metabolic derangements.

Sodium Bicarbonate Concentration

Sodium Bicarbonate is typically used at a concentration of 8.4% for intravenous administration.

Adverse Effects

Common adverse effect includes the development of sodium overload, which can lead to fluid retention and increased blood pressure.
Electrolyte imbalances, particularly hypernatremia (increased sodium levels) and hypokalemia (decreased potassium levels), may occur.

Mechanism of Action

Functions as an alkalinizing agent by increasing bicarbonate ion concentration, which neutralizes excess hydrogen ions in the blood, thereby raising blood pH.
Acts to reverse metabolic acidosis by promoting bicarbonate buffering in the system.

Dosing for Specific Situations

A bolus of 50 mEq (50 mL) of Sodium Bicarbonate may be administered followed by a maintenance infusion in cases of severe metabolic acidosis or specific toxicological emergencies.
Dose for crush syndrome: typically 1-2 mEq/kg based on clinical condition and severity.

Specific Exposure

In cases of chlorine gas exposure, administer Sodium Bicarbonate as needed to manage potential acidosis and support respiratory function, following standard dosing protocols.

This quiz covers indications, contraindications, and administration guidelines for using sodium bicarbonate in various medical scenarios such as metabolic acidosis, hyperkalemia, and overdoses. Test your knowledge on proper dosages and precautions.