Sodium Bicarbonate

Section 8 - MEDICATION GUIDELINES

ELECTROLYTES

Sodium Bicarbonate (NaHCO3)

DESCRIPTION

• It provides bicarbonate to assist the buffer system in reducing the effects of acidosis.

INDICATIONS

• Crush Syndrome, severe acidosis, prolonged cardiac arrest, and tricyclic anti-depressant overdose.

CONTRAINDICATIONS

• None when used in severe hypoxia or late Cardiac Arrest.

PRECAUTIONS

• May cause alkalosis if administered too aggressively.
• It may also deactivate vasopressors, and may precipitate with Calcium Chloride.

DOSAGE

• Refer to appropriate PRACTICE PARAMETER for specific dosages AND per physician's orders.
• Refer to Handtevy System for pediatric dosage.