Table of Contents
Sodium bicarbonate
IV sodium bicarbonate
Clinical usage of iv sodium bicarbonate
Sodium bicarbonate
see also
sodium physiology
,
acid-base pathophysiology
IV sodium bicarbonate
8.4% sodium bicarbonate:
8.4g per 100ml = 100mmol of sodium and 100mmol of bicarbonate per 100ml = 1mEq/ml
usual iv bolus dose:
1mmol/kg = 1ml/kg
Clinical usage of iv sodium bicarbonate
Reversal of severe metabolic acidosis in cardiac arrest
see
cardiac arrest - asystole
in general, sodium bicarbonate no longer has a place in the routine Mx of cardiac arrests
Urinary alkalinisation in salicylate poisoning
see
salicylate poisoning and urinary alkalinisation
Alkalinisation in Mx of tricyclic antidepressant overdose
see
tricyclic antidepressant overdose
Urinary alkalinisation in Mx of rhabdomyolysis
if rhabdomyolysis is due to
amphetamine toxicity
then be aware that alkalinisation may prolong half-life of amphetamines.