iv bag
Sodium bicarbonate
The authors make no claims of the accuracy of the information contained herein; and these suggested doses and/or guidelines are not a substitute for clinical judgement. Neither GlobalRPh Inc. nor any other party involved in the preparation of this document shall be liable for any special, consequential, or exemplary damages resulting in whole or part from any user's use of or reliance upon this material.    PLEASE READ THE DISCLAIMER CAREFULLY BEFORE ACCESSING OR USING THIS SITE. BY ACCESSING OR USING THIS SITE, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS SET FORTH IN THE DISCLAIMER.

Usual Diluents
D5W, NS

Standard Dilutions   [Amount of drug] [Infusion volume] [Infusion rate]
50 meq/ 50 ml vial

May add ordered dose to empty viaflex bag or dilute in 50-1000ml.
[Infuse as directed]

Stability / Miscellaneous
EXP: 1 DAY (RT).

Calculation of bicarb deficit:
[HCO3 < 10meq/L : Vd= 0.3 x wt(kg) or
if HCO3>10meq/L Vd= 0.5 x wt(kg) ]  Deficit= Vd x [24 - current level].

It is recommended that 50% of total deficit be given now, and the reminder replaced over 8-12h. Initial goal: increase serum bicarb level by 4-6 meq/L or increase pH to >7.2. The subsequent goal is to increase bicarb level to 15 meq/L over the next 24 hours.

Generally, 2 to 5 meq/kg is given over 6 to 12 hrs.

Monitor ABG's q2-3 hours to assess response. Administer IV either undiluted or diluted in other IV fluid (50-1000ml) depending on fluid status.

Osmolarity: 2Na + gluc/18 + BUN/2.8 (nml: 280-295).

Labs:
Bicarb[22-28],
pH [7.35-7.45],
pCO2 [35-45],
pO2 [75-100],
anion gap [12-14].
**Note: treat hypokalemia or hypocalcemia first if present.
The authors make no claims of the accuracy of the information contained herein; and these suggested doses and/or guidelines are not a substitute for clinical judgement. Neither GlobalRPh Inc. nor any other party involved in the preparation of this document shall be liable for any special, consequential, or exemplary damages resulting in whole or part from any user's use of or reliance upon this material.    PLEASE READ THE DISCLAIMER CAREFULLY BEFORE ACCESSING OR USING THIS SITE. BY ACCESSING OR USING THIS SITE, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS SET FORTH IN THE DISCLAIMER.