MEDICATION-SODIUM BICARBONATE
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1. Alkalising solution.
2. Indications: metabolic acidosis, protracted arrest (> 15 min), TCA overdose, hyperkalemia.
3. SE: alkalosis, hypernatremia, hyperosmolality, theoretical risk of intracellular acidosis.
DOSAGE
4. 1 mmol/kg given in boluses 2-3 min apart, guided by ABG. Do not give with adrenaline or calcium as they may inactivate and precipitate in the line.
Reference(s)
Gale, M., Grantham, H., Morley, P. and Parr, M. (2016). Advanced Life Support Level 1: 3rd Australian Edition. Australian Resuscitation Council. American College Of Surgeons. Committee On Trauma (2012). ATLS : student course manual. Chicago, Ill.: American College Of Surgeons.
