• Class: Electrolyte replacement

• Action: Counteracts existing acidosis

• Indications: Acidosis, drug intoxications (barbiturates, salicylates, methyl-alcohol), Tricyclic antidepressants (TCA), Selective Serotonin Reuptake Inhibitors (SSRI), Monoamine Oxidase Inhibitors (MAOI) and cardiac arrest secondary to known metabolic acidosis.

• Adverse Effects: Metabolic alkalosis, hypernatremia, injection site reaction, sodium and fluid retention, peripheral edema.

• Contraindications: Metabolic alkalosis

• Special Considerations: Pregnancy Class C

Dosages:

Adults:

1mEq/kg slow IV/IO

Pediatrics:

1mEq/kg slow IV/IO

COG's

COG's - Crush Injuries (google.com)

COG's - Cardiac Arrest (google.com)