Sodium Bicarbonate

NaHCO3

 

Indications:

  • Severe Metabolic Acidosis
  • Cardiac Arrest (after ventilation problems are corrected)
  • Certain Medication Overdoses
  • Hyperkalemia

 

Contraindications:

  • CHF
  • Hypokalemia

 

Side Effects:

  • Metabolic Alkalosis
  • Increased Vascular Volume
  • Pulmonary Edema
  • Dysrhythmias through serum potassium depletion
  • Transiently raises the arterial PCO2

 

Adult Dose:

  • 1 mEq/kg IV/IO; may repeat 0.5 mEq/kg every 10 minutes

 

Pediatric Dose:

  • 1 mEq/kg IV/IO
  • Age ≤ 2 years; Must be diluted to 1:1 with D5W or Normal Saline prior to administration