Sodium Bicarbonate Drug Card (Paramedic)

Systemic Hydrogen Ion Buffer, Alkalizing Agent.

Buffers metabolic acidosis and lactic acid buildup by reacting with hydrogen ions to form water and carbon dioxide.

Metabolic acidosis during cardiac arrest, overdose on tricyclic antidepressants, aspirin, phenobarbital, hyperkalemia, and crush injuries.

<p>Metabolic and respiratory alkalosis, hypokalemia, and electrolyte imbalance due to severe vomiting or diarrhea.</p> Signup and view all the answers

<p>Seizures, fluid retention, hypokalemia, electrolyte imbalance, tetany, sodium retention, peripheral edema, hypernatremia, metabolic alkalosis, tissue sloughing, cellulitis, or necrosis at the injection site.</p> Signup and view all the answers

<p>Increases the effects of amphetamines, decreases the effects of benzodiazepines, and tricyclic antidepressants, may deactivate sympathomimetics.</p> Signup and view all the answers

<p>1 mEq/mL of an 8.4% solution in 10- and 50-mL vials, 0.5 mEq/mL of a 4.2% solution in 2.5-, 5-, and 10-mL prefilled syringes.</p> Signup and view all the answers

<p>1 mEq/kg slow IV, IO push, repeat at 0.5 mEq/kg every 10 minutes.</p> Signup and view all the answers

<p>Onset is seconds, peak effect is 1-2 minutes, duration is 10 minutes.</p> Signup and view all the answers

<p>Pregnancy safety category C, repeat as needed in tricyclic antidepressant overdose until QRS narrows, must be used with effective ventilation and chest compressions in cardiac arrest, avoid contact with other medications, flush IV line before and after injection, use caution in patients with CHF and renal disease.</p> Signup and view all the answers