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Sodium Bicarbonate

8.4%  1 mEq/ml (10 or 50 ml prefilled syringe)

4.2%  0.5 mEq/ml (10 ml prefilled syringe)

INDICATIONS

  • Treatment of severe metabolic acidosis unresponsive to ventilation and return of adequate perfusion
  • Hyperkalemia
  • Sodium channel blocker intoxication, tricyclic antidepressants

PRECAUTIONS

  • Routine use NOT RECOMMENDED in cardiac arrest
  • Maintain adequate alveolar ventilation
  • Do not mix with other medications

DOSAGE & ADMINISTRATION

  • Severe metabolic acidemia or hyperkalemia: IV/IO 1 mEq/kg slow bolus (4.2% concentration recommended for patients less than 1 month old)

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