MEDICATION-SODIUM BICARBONATE

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SUMMARY

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.