Please note: Current American Heart Association (AHA) guidelines recommend against the routine use of sodium bicarbonate (SB) during advanced cardiac life support (ACLS).
Indications for use of SB, include:
severe acidosis (Corrected pH < 7.2)
hyperkalemia (K > 5.5 mmol/L)
tricyclic antidepressant toxicity
IV Administration: 1 mEq/kg IV bolus
One ampule = 50 mEq