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Wheeless' Textbook of Orthopaedics
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Bicarbonate, Sodium


* ACLS guidelines no longer include this as a part of resusitation unless there is hyperkalemia or pre-existing acidosis; * Adult: based on blood gas values or empirically: * Supplied: 50 ml vials (44 mEq/vial) (almost 1 mEq/ml) * Dose 1 mEq/kg IV (50-100 mEq or 1-2 amp), then half the initial dose q10-15min; give undiluted 44.6 mEq or 50 mEq in 50 mL; * Supplied: Injection 0.5 mEq/mL; tabs: 325-650 mg; * Note: 1 gm neutralizes 12 mEq of acid; * Note: must have effective ventilation; Base Deficit Stratifies Mortality and Determines Therapy.



Original Text by Clifford R. Wheeless, III, MD.