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Description
A salt that provides bicarbonate to buffer metabolic acidosis, which can accompany several disease processes
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Mechanism of Action
Combines with excessive acids to form a weak volatile acid, Increases PH
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Onset of action
- Onset: Immediate
- Peak: <15 min
- Duration: 1-2 hours
- Half-life: N/A
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Indications
- Late management of cardiac arrest (If at all Tricyclic antidepressant O/D), Unresponsive diabetic ketoacidosis, Renal Failure (Early Cardiac Arrest Pts),
- Known hyperkalemia
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Contraindications
Alkalotic states
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Precautions
Correct dose is essential, Can deactivate catecholamines, can precipitate with calcium, delivers large sodium load
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Doses
- Adult: 1 mEq/kg
- Pedi: 1 mEq/kg
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Max dose
One dose prehospital (1 mEq/kg)
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Routes of administration
IV/IO
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