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EMR
EMT
AEMT
Paramedic
Extended
Sodium Bicarbonate
Action
Onset
Reverses blood pH
Immediate
Indications
Adult Pulseless Arrest
Tricyclic Antidepressant Overdose (Adult and Ped)
Adult Dose
Prolonged Cardiac Arrest: 1 mEq/kg IVP/IO of 8.4%
Tricyclic Antidepressant Overdose: 1 mEq/kg IVP/IO of 8.4%
Pediatric Dose
Pediatric Tricyclic Antidepressant Overdose: 1 mEq/kg IVP/IO 8.4% if > l1 lbs)
Contraindications
Patients losing chloride by vomiting or continuous gastrointestinal suction, metabolic and respiratory alkalosis
Adverse Reactions
Alkalosis and/or hypokalemia, extravasation of IV, tissue necrosis, ulceration, or sloughing at site
Precautions
Overdose and alkalosis should be avoided, may cause vascular irritation or sloughing if given extravascularly,
avoid scalp vein use. Risks of overdose and alkalosis should be avoided. Use caution in patients with CHF or
other edematous sodium-retaining states.
Considerations
Flush IV tubing before and after administration.
Sodium Bicarbonate