Sodium Bicarbonate Drug Card

Generic Name

Sodium Bicarbonate

Trade Name

N/A

Class

Systemic hydrogen ion buffer, alkalizing agent

Action

Decreases acidosis by reacting with hydrogen ions to form water and carbon dioxide

Indications

Metabolic acidosis during cardiac arrest, tricyclic antidepressant/ASA/Phenobarbital overdose, hyperkalemia, crush injuries

Route

IV/IO

Contraindications

Metabolic/respiratory alkalosis, hypokalemia, electrolyte imbalance due to severe vomiting or diarrhea

Adverse Effects

Hypernatremia, metabolic alkalosis, tissue sloughing, cellulitis, necrosis at injection site, seizures, fluid retention, hypokalemia, electrolyte imbalance, tetany, sodium retention, peripheral edema

Special Considerations

Avoid contact with other meds, use caution in patients with heart failure and renal disease due to high sodium concentration

Dose

1 meq/kg