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</p> Signup and view all the answers

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

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

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

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

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

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

    What is the classification of sodium bicarbonate?

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

    In which condition would sodium bicarbonate be indicated?

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

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

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

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

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

    What is the trade name of sodium bicarbonate?

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

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

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

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

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

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

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

    What is the classification of sodium bicarbonate?

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

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

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

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

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

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

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

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

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

    In which condition would sodium bicarbonate be indicated?

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

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

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

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

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

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

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

    What is the classification of sodium bicarbonate?

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

    What is the classification of procainamide?

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

    What is the adult dosage for procainamide IV loading dose?

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

    What is a contraindication for using procainamide?

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

    What is a potential precaution for administering procainamide?

    <p>Hypokalemia</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</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</p> Signup and view all the answers

    What is the supplied concentration of procainamide?

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

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

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

    What is the classification of procainamide?

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

    What is the adult IV loading dose range for procainamide?

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

    What is a potential contraindication for using procainamide?

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

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

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

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

    <p>Vasodilation</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</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</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</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</p> Signup and view all the answers

    What is the classification of procainamide?

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

    What is a potential contraindication for using procainamide?

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

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

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

    What is the adult IV loading dose range for procainamide?

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

    What is the classification of sodium bicarbonate?

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

    What is a potential contraindication for administering sodium bicarbonate?

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

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

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

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

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

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

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

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