Sodium Bicarbonate

The mainstays of restoring acid-base balance during cardiac arrest includes the restoration of oxygen delivery with high-quality CPR and appropriate ventilation with oxygen.

Routine use of sodium bicarbonate is not recommended for patients in cardiac arrest. (Class III, LOE B) (2010 Part 8)

In some special resuscitation situations, such a spreexisting metabolic acidosis, hyperkalemia, or tricyclic antidepressant overdose, administration of sodium bicarbonate can be beneficial (see Part 10: Special Circumstances in Resuscitation).

If sodium bicarbonate is administered, whenever possible, bicarbonate therapy should be guided by the bicarbonate concentration or calculated base deficit obtained from blood gas analysis or laboratory measurement. To minimize the risk of iatrogenically induced alkalosis, do not attempt complete correction of the calculated base deficit.

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Sodium Bicarbonate

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