SODIUM BICARBONATE 8.4%20ML AMP 10`S STEROP

KSh2,260.00

SKU: DP8302 Category:

INDICATIONS.

•Correction of metabolic acidosis associated with cardiac arrest in patients with pre-existing metabolic acidosis

•Cardiac arrest associated with hyperkalaemia with pre-existing metabolic acidosis

•Life threatening hyperkalaemia with pre-existing metabolic acidosis

•Tricyclic antidepressant overdose.

Sodium bicarbonate should only be used after other resuscitative measures such as cardiac compression, ventilation, adrenaline and antiarrhythmic agents have been attempted.

In neonates, Sodium Bicarbonate is indicated for:

•Correction of metabolic acidosis associated with cardiac arrest in patients with preexisting metabolic acidosis

•Cardiac arrest associated with hyperkalaemia with pre-existing metabolic acidosis

•Life threatening hyperkalaemia with pre-existing metabolic acidosis

 

DOSAGE.

Adults:

The usual dose is 1mmol/kg (1ml/kg 8.4% solution) followed by 0.5mmol/kg (0.5ml/kg 8.4% solution) given at 10-minute intervals.

 

The usual dose is 1mmol/kg by slow iv injection. (1ml/kg 8.4% solution)

In premature infants and neonates, the 8.4% solution should be diluted 1:1 with 5% dextrose.

Elderly:

As for adults.

ADVERSE EFFECTS.

Alkalosis, hypokalaemia, hypernatremia, hyperosmolarity, hypocalcemia, hypoglycemia, paradoxical intracellular acidosis.

Cardiac disorder:

Deterioration of hemodynamic status associated with volume overload.

Nervous system disorders:

Intracranial haemorrhage (in neonates), hyperirritability or tetany.

General disorders and administration site conditions:

Extravasation.

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