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