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Sodium Bicarbonate

sodium bicarb

QuestionAnswer
MOA neutralizes excess acid,allows sympathomimetic agents to work more effectively
MOA raises the pH in serum and urine so drugs can be excreted
MOA encourages redistrabution of K+ from extracellular to intracellular-increasesH+ causes K+ to move out and H+ moves into the intracellular space
MOA Electrolyte replacement
Indications Metabolic acidosis
Indication Certain poisonings (methanol/ethylene glycol)
Indication Rhabdomyolosis
Indication Hyperkalemia
Indication Overdoses (barbituates,trycillic antidepressants,ASA,lithium,cocaine,diphenhydramine
Indication DKA
Indication prolonged resucitation with effective ventilation
Indication ROSC after long arrest interval
Contra Hypokalemia/hypocalcemia/hypernatremia
Contra CHF
COntra Metabolic/respiratory alkalosis
Contra Renal failure
Contra Abd pain of unknown origin
Contra HTN
Supplied 50 meQ/50 ml IVP
Initial dose 1meQ/kg IVP repeat in 10 min
Sub dose 0.5 meq/kg IVP
CNS SE confusion,headache,sizures-LT,weakness
Cardio SE cardiac arrest-LT,edema,weight gain, retention
Metabolic SE alkalosis,hypocalcemia, hypokalemia,intracellular acidosis if not ventilated right
Resp SE apnea-LT,induces left shift in oxy-dissocociation curve
Created by: rebeccabelleth
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