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.