TEST QUESTION: Sodium Bicarbonate

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TODAY’S TEST QUESTION:


CORRECT ANSWER: 

A) K 2.7 (hypokalemia)


MORE INFO:

  • Often after sodium bicarbonate is given, the potassium drops.
  • This is because the sodium bicarbonate causes the potassium to re-enter the cell.
  • Sodium bicarbonate acts a a buffer for acidosis.
  • Sodium bicarbonate increases the pH.
  • The normal blood pH is 7.35-7.45.
  • It is sometimes given in DKA and or renal failure.
  • You will often see patients in DKA have ABGs drawn.
  • Electrolytes must also be monitored very closely when this is given.
  • Some other abnormal labs, as a potential result of sodium bicarbonate use: hypocalcemia, hypernatremia.
  • There is also potential risk to over correct- and go from metabolic acidosis to metabolic

DISCLAIMER: The information posted is not intended to be medical advice. This is for educational purposes only. This information is intended for medical professionals & students. Check with your primary care provider if you have any questions regarding your health. This is not intended to guide in medical decisions or treatment in any way. As always, medical professionals should call the on call provider if any clarifications are needed. This is not intended to guide or direct medical decisions, treatment choices, and or interventions. State and hospital protocols should always be followed accordingly. Med Made Ez (MME) disclaims any liability for the decisions you make based on this information.
REFERENCE:

  1. https://www.rxlist.com/sodium-bicarbonate-drug.htm

 

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