NaHCO3
Classification:
Alkalinizer, buffer
Indications:
• Metabolic acidosis from any cause (arrest, shock, renal failure, ketoacidosis)
• Tricyclic antidepressant overdose
• Hyperkalemia
Actions:
• Increases pH, reverses acidosis
Dosage:
• 1mEq/kg IV push, followed by 0.5mEq/kg every 10 minutes based on ABG’s
•
(may be given as a slow infusion in overdoses where bicarb is indicated)
Route:
• IV push or IV infusion
Side effects:
• Hypernatremia, hyperosmolality, metabolic alkalosis
• Note: The “Give one amp of bicarb” routine only works on TV. Unless the patient weighs 50kg,
one amp is under-dosing. Pay attention to weight-based dosing.