Sodium Bicarbonate

Sodium Bicarbonate - Class

• Alkalinizing Agent / Antacid

Sodium Bicarbonate - Use

• Metabolic Acidosis: Treats conditions associated with low blood pH, such as severe kidney disease or diabetic ketoacidosis.

• Acid-Indigestion: Acts as an antacid to relieve heartburn and indigestion.

Sodium Bicarbonate - Action

Alkalinizing Effect: Neutralizes excess acid in the blood and urine, helping to restore normal pH levels.

Sodium Bicarbonate - Precaution

• Electrolyte Imbalance:

  • Monitor for imbalances, particularly sodium and potassium levels.

• Fluid Overload:

  • Caution in patients with heart failure or renal impairment due to the risk of fluid overload.

• Metabolic Alkalosis:

  • Overuse can lead to excessive alkalinity in the blood.

Sodium Bicarbonate - Side Effects

• Metabolic Alkalosis:

  • Symptoms include muscle twitching, hand tremors, or nausea.

• Fluid Retention:

  • Can cause edema or worsen conditions related to fluid overload.

• Electrolyte Imbalances:

  • Potential for high sodium levels, hypokalemia, or changes in other electrolytes.

Sodium Bicarbonate - Nursing Consideration

• Monitor Electrolytes:

  • Regularly check sodium, potassium, and other electrolyte levels.

    • MONITOR BLOOD PH AND BICARBONATE LEVELS

• Assess for Symptoms:

  • Watch for signs of metabolic alkalosis or fluid retention.

• Administration:

  • For IV use, administer slowly and ensure proper dilution to avoid complications.

• Patient Education:

  • Inform patients about the importance of following dosing instructions and recognizing symptoms of imbalances or overuse.