Sodium Bicarbonate

Alkalinizing Agent

A salt that provides bicarb to buffer metabolic acidosis which can accompany several disease processes. (DKA or renal failure)

Combines w/ excessive acids to form a weak volatile acid, increases pH

• Onset: Immediate
• Peak: <15min
• Duration: 1-2hrs
• Half-life: N/A

• Rarely used Pre-hospital
• Not recommended in Cardiac Arrest unless caused by DKA or Renal failure
• Used in TCA overdose

NONE treat only indications :)

• Cause metabolic alkalosis in large quantities
• Dont use in same IV line as calcium chloride

NONE for pre hospital use

1mEq/kg followed by 0.5mEq/kg every 10min IV Bolus

Same as Adult

1mEq/kg followed by 0.5mEq/kg every 10min IV Bolus

1 pre-hospital dose

IV/IO

50mEq/50ml vials