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NAHCO3

1. Sodium bicarbonate is used to treat metabolic acidosis by increasing plasma bicarbonate levels and reversing acidosis. It can also promote gastric, systemic, and urine alkalinization. 2. Potential adverse effects include metabolic alkalosis, mood changes, tiredness, shortness of breath, and muscle weakness. It can also cause irregular heartbeat, muscle hypertonicity, twitching, hypernatremia, and hypocalcemia. 3. Nursing responsibilities include slowly administering isotonic solutions to avoid death from cellular acidity, monitoring for signs of excessive chloride loss, and reporting symptoms of milk-alkali syndrome that can occur if taken with calcium supplements.

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Krizha Angela Nicolas
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135 views2 pages

NAHCO3

1. Sodium bicarbonate is used to treat metabolic acidosis by increasing plasma bicarbonate levels and reversing acidosis. It can also promote gastric, systemic, and urine alkalinization. 2. Potential adverse effects include metabolic alkalosis, mood changes, tiredness, shortness of breath, and muscle weakness. It can also cause irregular heartbeat, muscle hypertonicity, twitching, hypernatremia, and hypocalcemia. 3. Nursing responsibilities include slowly administering isotonic solutions to avoid death from cellular acidity, monitoring for signs of excessive chloride loss, and reporting symptoms of milk-alkali syndrome that can occur if taken with calcium supplements.

Uploaded by

Krizha Angela Nicolas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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DOSE,

NAME AND FREQUENCY NURSING


MECHANISM CONTRAINDICATION ADVERSE
CLASSIFICATION ROUTE, INDICATIONS RESPONSIBILIIES
OF ACTION S EFFECTS
OF DRUG DURATION OF
ADMINISTRATION
Generic Name: Dosage: Increases Indications: Contraindications: Metabolic alkalosis, 1. Hypertonic
Sodium Bicarbonate 17 meqs NaHC0 plasma mood changes, solutions must be
3+17 mlSW bicarbonate,  Treatment of metaboli Metabolic or Respiratory tiredness, shortness administered by
Brand Name: which excess c alkalosis; hypernatremia, of breath, muscle trained personnel.
Rhea Sodium Frequency: buffer H ion acidosis; promotion severe pulmonary edema, weakness, irregular Avoid extraversions
Bicarbonate, Hospira NOW concentrations; of gastric, systemic hypocalcemia, heartbeat, muscle as tissue irritation or
Sodium Bicarbonate, reverses and urine hypochlorhydria. hypertonicity, cellulitis may result.
Phil Route: metabolic alkalinization in the  twitching,
Pharmawealth/Atlantic IV Drip acidosis; case of intoxication Drug Interactions: hypernatremia, 2. Administer
Sodium Bicarbonate, neutralizes with weak organic hyperosmolality, isotonic solutions
United Home Sodium gastric  acids; in order to Amphetamines- increase hypocalcemia, slowly; too rapid
Bicarbonate acid, improve the Amphetamines effect by hypokalemia, administration may
which forms  solubility of increase renal tubular stomach cramps, result in death due to
Classification: water, NaCl,  drug substances that  reabsorption flatulence. cellular acidity. Check
Antacid, Antireflux CO2; raises are poorly soluble in rate of flow
Agents and Anti blood ph. neutral acid Antidepressant, tricyclic- frequently.
Ulcerants/ Electrolytes medium; and in the increase TCA effect by
case of hemolysis. increase renal tubular 3. If on low continues
reabsorption. or intermittent NG
sanctioning or
Benzodiazepines- decrease vomiting, assess for
benzodiazepine effect R/T evidence of excessive
increase urine alkalinity chloride loss.

Chlorpropamide- increase 4. Record I and O.


chlorpropamide excretion Observe for dry skin
rate R/T urine and mucous
alkalinization membranes,
polydipsia, polyuria,
Erythromycin- increase and air hunger, may
erythromycin effect in indicate a reversal of
urine R/T increase urine metabolic acidosis.
alkalinization With acidosis, assess
for the relief of
Ketoconazole- decrease dyspnea and hyper
ketoconazole effects by apnea.
increase renal tubular
reabsorption 5. Consuming sodium
bicarbonate with
Tetracycline – tetracycline milk or calcium may
effect R/T increase kidney result in a milk-alkali
excretion. syndrome. Report
immediately if
anorexia, N and V, or
mental confusion
occurs.

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