Sodium bicarbonate reverses metabolic acidosis; neutralizes gastric acid, which forms water, NaCl, CO2; raises blood pH. Hypernatremia serum hyperosmolarity Paravenous administration may lead to tissue necrosis Nursing Considerations Monitor vital signs and notify the physician of abnormalities.
Sodium bicarbonate reverses metabolic acidosis; neutralizes gastric acid, which forms water, NaCl, CO2; raises blood pH. Hypernatremia serum hyperosmolarity Paravenous administration may lead to tissue necrosis Nursing Considerations Monitor vital signs and notify the physician of abnormalities.
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Sodium bicarbonate reverses metabolic acidosis; neutralizes gastric acid, which forms water, NaCl, CO2; raises blood pH. Hypernatremia serum hyperosmolarity Paravenous administration may lead to tissue necrosis Nursing Considerations Monitor vital signs and notify the physician of abnormalities.
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Medical Diagnosis: hydrocephalus, status post- shunt insertion
Category:
Indication/ Mechanism of Action Side Effects/ Adverse Nursing Considerations
Contraindication Effects INDICATIONS: Increases plasma • Hypernatremia • Monitor vital Generic Name: Treatment of metabolic bicarbonate, which • Serum signs and notify the sodium bicarbonate acidosis; promotion of excess buffer H ion hyperosmolarity physician of gastric, systemic and concentrations; reverses • Paravenous abnormalities. Brand Name: urine alkalinization in metabolic acidosis; administration may • Obtain patient the case of intoxication neutralizes gastric acid, lead to tissue necrosis history (drug history with weak organic acids; which forms water, and any Classification: in order to improve the NaCl, CO2; raises blood hypersensitivity). Fluids & Electrolytes solubility of drug pH • Monitor fluid substances that are balance (input-output Dosage: poorly soluble in neutral ratio, weight, edema). 17 meqs NaHC03 +17 ml acid medium; and in the • Monitor SW case of hemolysis. manifestations of hypokalemia and Frequency: CONTRADICTIONS: hyponatremia NOW Hypoventilation, • Report any hypocalcemia, increased symptoms such as Route: serum osmolarity, nausea, vomiting and IV Drip further in all situations anorexia. where sodium intake must be restricted.