Sodium Bicarbonate 4 % & 8.5% Injection
Clinical Summary
Quick overview from the medicine insert
Indication
Correction of metabolic acidosis.
Dosage (summary)
Administer diluted solutions intravenously; initial doses should be small to avoid overtreatment.
Special Populations
- Renal impairment
- Neonates
- Elderly
Pregnancy & Breastfeeding
Safety in pregnancy and lactation not established.
Key Drug Interactions
- Corticosteroids
- Potassium depleting diuretics
- Acidic medications
Contraindications
- Hypersensitivity
- Renal failure
- Metabolic alkalosis
- Hypoventilation
Common side effects
- Metabolic alkalosis
- Hypokalaemia
- Muscle weakness
- Shortness of breath
Counselling Points
- Dilute before use
- Monitor electrolytes
- Avoid rapid infusion in neonates
Serious warnings
- Risk of fluid overload
- Chemical cellulitis from extravasation
- Monitor acid-base status
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