Bicarbonate infusion

Bicarbonate

• • 1 ampoule of 8.4% NaHCO3 = 50 mEq NaHCO3 = 1000 mEq Na/L

  • Give in D5W.

  • To give HCO3- in acute setting:

    • HCO3- deficit = 0.5 x body wt in Kg (24 - HCO3 measured). Keep the HCO3 desired 10 mEq/L.

    • 0.5 x bw kg (10 - bicarb measured).

    • Give 1/2 the dose slowly.

    • D5W + Sodium bicarbpnate is generally the fluid of choice in Pts who are oliguric, hyperkalemic, and acidotic.