Sodium Bicarbonate: Uses and Considerations

What year did a French chemist first make sodium carbonate?

• 1850

• 1900

• 1950

• 1791

Which condition is NOT typically treated with sodium bicarbonate in the ICU?

• Cardiac arrest

• Hyperkalemia

• Metabolic acidosis

• Hypertension

What is a potential use of sodium bicarbonate in drug toxicities?

• Beta-blocker overdose

• Insulin overdose

• Aspirin overdose

• Calcium channel blocker overdose

What is a potential adverse effect of sodium bicarbonate?

• Hypoglycemia

• Alkalosis

• Hyperthermia

• Hypotension

Which condition is a contraindication for sodium bicarbonate use?

• Hyperkalemia

• Metabolic acidosis

• Respiratory alkalosis

• Diabetic ketoacidosis

What is the typical concentration for an IV push of sodium bicarbonate?

• 100 ml equivalents in 100 ml

• 50 ml equivalents in 50 ml

• 150 ml equivalents in 150 ml

• 200 ml equivalents in 200 ml

How is the plasma concentration of sodium bicarbonate regulated?

• By the liver

• By the pancreas

• By the lungs

• By the kidneys

What should be monitored to avoid the risk of alkalosis when administering sodium bicarbonate?

• Respiratory rate

• Blood glucose levels

• Blood pH, PO2, PCO2, and serum electrolytes

• Heart rate

Which lab value might decrease as pH increases during sodium bicarbonate administration?

• Magnesium

• Calcium

• Potassium

• Sodium

What should be avoided when administering sodium bicarbonate in the same line?

• Magnesium

• Calcium

• Iron

• Zinc