Sodium Bicarbonate
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Questions and Answers

What is the recommended rate of administration for sodium bicarbonate?

  • 4-5 ml/kg/hour
  • 6-7 ml/kg/hour
  • 1 ml/kg/hour
  • 2-3 ml/kg/hour (correct)

What are the contraindications for administering sodium bicarbonate?

  • Hypernatremia
  • Hypercalcemia
  • Hypokalemia
  • Respiratory acidosis (correct)

What is a precaution to be taken when administering sodium bicarbonate?

  • Requires mixing with calcium salts
  • May inactivate catecholamines in solution (correct)
  • Increases the efficacy of epinephrine
  • Has no impact on arterial blood gas analysis

What is not recommended for routine use for patients in cardiac arrest?

<p>Sodium bicarbonate (B)</p> Signup and view all the answers

What is emphasized as the major buffer agents in cardiac arrest?

<p>Adequate ventilation and CPR (B)</p> Signup and view all the answers

What should be avoided in the complete correction of base deficit?

<p>Complete correction of base deficit (C)</p> Signup and view all the answers

What should be avoided due to the risk of tissue irritation/necrosis when administering sodium bicarbonate?

<p>Extravasation (D)</p> Signup and view all the answers

What is not a reliable indicator of acidosis during cardiac arrest?

<p>ABG results (A)</p> Signup and view all the answers

What is the classification of sodium bicarbonate?

<p>Alkalinizing agent (B)</p> Signup and view all the answers

In which condition would sodium bicarbonate be indicated?

<p>Diabetic ketoacidosis (D)</p> Signup and view all the answers

What is the recommended dosage of sodium bicarbonate for TCA/ASA overdose?

<p>1.0-2.0 mEq/kg SIVP (B)</p> Signup and view all the answers

What is the action of sodium bicarbonate as a urine alkalizer?

<p>Increases the excretion of free bicarbonate ions in the urine (B)</p> Signup and view all the answers

In which situation would sodium bicarbonate be indicated for cardiac arrest?

<p>Prolonged resuscitation (A)</p> Signup and view all the answers

What is the supplied concentration of sodium bicarbonate for 8.4% preload?

<p>1 mEq/mL (C)</p> Signup and view all the answers

What is the trade name of sodium bicarbonate?

<p>Not given (C)</p> Signup and view all the answers

What is the adult/pediatric dosage of sodium bicarbonate for urinary alkalization?

<p>1.0 mEq/kg SIVP (D)</p> Signup and view all the answers

What is the adult/pediatric dosage of sodium bicarbonate for TCA/ASA overdose?

<p>1.0-2.0 mEq/kg SIVP; repeat (prn) q 10 minutes at 1.0 mEq/kg to achieve hemodynamic stability and QRS narrowing bolus then initiate infusion (A)</p> Signup and view all the answers

What is emphasized as the major buffer agents in cardiac arrest?

<p>Bicarbonate and phosphate (A)</p> Signup and view all the answers

What is not a reliable indicator of acidosis during cardiac arrest?

<p>Capillary refill time (B)</p> Signup and view all the answers

What is the supplied concentration of sodium bicarbonate for 8.4% preload?

<p>1 mEq/mL (A)</p> Signup and view all the answers

What is the classification of sodium bicarbonate?

<p>Alkalinizing agent (B)</p> Signup and view all the answers

What is the recommended infusion rate of administration for sodium bicarbonate?

<p>150mEq in a 1000ml D5W or NS = 0 (C)</p> Signup and view all the answers

What is the action of sodium bicarbonate as a urine alkalizer?

<p>Increases the excretion of free bicarbonate ions in the urine, effectively raising the urinary pH (C)</p> Signup and view all the answers

What is the indication for sodium bicarbonate in patients with documented preexisting metabolic acidosis?

<p>Diabetic ketoacidosis (C)</p> Signup and view all the answers

What is the recommended infusion rate of administration for sodium bicarbonate?

<p>2-3 ml/kg/hour (A)</p> Signup and view all the answers

What is emphasized as the major buffer agents in cardiac arrest?

<p>Adequate ventilation and CPR (B)</p> Signup and view all the answers

What is a precaution to be taken when administering sodium bicarbonate?

<p>May inactivate catecholamines in solution (B)</p> Signup and view all the answers

In which condition would sodium bicarbonate be indicated?

<p>Respiratory acidosis (C)</p> Signup and view all the answers

What is not recommended for routine use for patients in cardiac arrest?

<p>Sodium bicarbonate (D)</p> Signup and view all the answers

What should be avoided in the complete correction of base deficit?

<p>Complete correction of base deficit (A)</p> Signup and view all the answers

What is not a reliable indicator of acidosis during cardiac arrest?

<p>Arterial blood gas analysis (D)</p> Signup and view all the answers

What is the classification of sodium bicarbonate?

<p>Buffering agent (C)</p> Signup and view all the answers

What is the classification of procainamide?

<p>Class Ia antiarrhythmic (C)</p> Signup and view all the answers

What is the adult dosage for procainamide IV loading dose?

<p>20 to 50 mg/min (D)</p> Signup and view all the answers

What is a contraindication for using procainamide?

<p>QT prolongation (C)</p> Signup and view all the answers

What is a potential precaution for administering procainamide?

<p>Hypokalemia (D)</p> Signup and view all the answers

What is an indication for using procainamide in pediatric patients?

<p>Stable monomorphic VT with normal QT interval (C)</p> Signup and view all the answers

What is the action of procainamide in terms of cardiac action potential?

<p>Blocks open sodium channels and prolongs the cardiac action potential (A)</p> Signup and view all the answers

What is the supplied concentration of procainamide?

<p>1 gm/10 mL (100 mg/mL) (A)</p> Signup and view all the answers

What is a potential adverse effect of procainamide related to the cardiovascular system?

<p>Prolongs PR and QT intervals (D)</p> Signup and view all the answers

What is a potential indication for using procainamide in patients with atrial fibrillation?

<p>Atrial fibrillation with rapid rate in WPW (C)</p> Signup and view all the answers

What is a potential indication for using procainamide in pediatric patients with stable monomorphic VT?

<p>Normal QT interval and preserved LV function (C)</p> Signup and view all the answers

What is a potential contraindication for using procainamide in patients with preexisting cardiac conditions?

<p>QT prolongation (A)</p> Signup and view all the answers

What is a potential adverse effect of procainamide related to the peripheral vasculature?

<p>Peripheral vasodilatory properties which may result in hypotension (D)</p> Signup and view all the answers

What is the classification of procainamide?

<p>Class Ia antiarrhythmic (B)</p> Signup and view all the answers

What is the adult IV loading dose range for procainamide?

<p>20 to 50 mg/min (A)</p> Signup and view all the answers

What is a potential contraindication for using procainamide?

<p>QT prolongation (B)</p> Signup and view all the answers

What is a potential adverse effect of procainamide related to the cardiovascular system?

<p>Peripheral vasodilation (C)</p> Signup and view all the answers

What is the pediatric dosage for procainamide administered slow IV/IO over 30 to 60 minutes?

<p>10 to 15 mg/kg (C)</p> Signup and view all the answers

What is a precaution to be taken if cardiac or renal dysfunction is present when administering procainamide?

<p>Reduce max total dose to 12 mg/kg (C)</p> Signup and view all the answers

What is the major action of procainamide in terms of cardiac action potential?

<p>Blocks open sodium channels and prolongs the cardiac action potential (B)</p> Signup and view all the answers

What is a potential adverse effect of procainamide related to the peripheral vasculature?

<p>Vasodilation (A)</p> Signup and view all the answers

What is the adult dosage for procainamide IV loading dose to be infused at?

<p>1-4 mg/min (B)</p> Signup and view all the answers

What is a potential indication for using procainamide in pediatric patients?

<p>Stable monomorphic VT with normal QT interval (B)</p> Signup and view all the answers

What should be avoided when administering procainamide due to the risk of tissue irritation/necrosis?

<p>Rapid IV push (C)</p> Signup and view all the answers

What is a potential risk associated with using procainamide in the setting of AMI, hypokalemia, or hypomagnesemia?

<p>Pro-arrhythmic effects (A)</p> Signup and view all the answers

What is the classification of procainamide?

<p>Class Ia antiarrhythmic (C)</p> Signup and view all the answers

What is a potential contraindication for using procainamide?

<p>Pre-excitation with preexisting QT prolongation (A)</p> Signup and view all the answers

What is a potential adverse effect of procainamide related to the cardiovascular system?

<p>Peripheral vasodilatory properties (B)</p> Signup and view all the answers

What is the adult IV loading dose range for procainamide?

<p>20 to 50 mg/min (B)</p> Signup and view all the answers

What is a precaution to be taken if cardiac or renal dysfunction is present when administering procainamide?

<p>Avoid administration if prolonged QT or CHF (C)</p> Signup and view all the answers

What is the classification of sodium bicarbonate?

<p>Buffering agent (A)</p> Signup and view all the answers

What is the adult/pediatric dosage of sodium bicarbonate for TCA/ASA overdose?

<p>3-5 mEq/kg (C)</p> Signup and view all the answers

What is a potential contraindication for administering sodium bicarbonate?

<p>Respiratory acidosis (C)</p> Signup and view all the answers

What is the action of sodium bicarbonate as a urine alkalizer?

<p>Increases urine pH (A)</p> Signup and view all the answers

What is emphasized as the major buffer agents in cardiac arrest?

<p>Sodium bicarbonate (B)</p> Signup and view all the answers

What is the recommended infusion rate of administration for sodium bicarbonate?

<p>1-2 mEq/min (A)</p> Signup and view all the answers

What is a potential indication for using procainamide in pediatric patients?

<p>Stable monomorphic VT with normal QT interval (A)</p> Signup and view all the answers

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