Virtual Drug Bag

SODIUM BICARBONATE

PACKAGED: 50 mEq in 50 ml syringe, 1 mEq/ml

LOCATION: Main Compartment

INDICATIONS:
Renal dialysis patient in asystole or PEA cardiac arrest
Known tricyclic overdose
Acidosis from prolonged cardiac arrest.
Crush Syndrome

ADULT: 
Arrest in renal dialysis patient: 100 mEq IV
Tricyclic antidepressant OD: 100 mEq IV
May repeat dose of 50 mEq for persistent or prolonged QRS

Crush syndrome:

• Sodium Bicarb 100 mEq IV
• Sodium Bicarb 1mEq/kg IV

PEDI:
Arrest in renal dialysis patient:  1 mEq/kg IV
Tricyclic antidepressant OD: 1 mEq/kg IV.
May repeat dose of 0.5 mEq/kg for persistent or prolonged QRS

THERAPEUTIC ACTION:
Buffers metabolic acidosis

CONTRAINDICATIONS:

PRECAUTIONS AND SIDE EFFECTS:
Metabolic alkalosis, hypoxia, rise in intracellular PCO2 and increased tissue acidosis, electrolyte imbalance (hypernatremia), seizures, tissue sloughing at injection site

REQUIRES MCP:
ADULT:
Arrest – No
Tricyclic OD – Yes  

PEDI:
Arrest – No
Tricyclic OD – Yes