UNCONTROLLED WHEN PRINTED
Introduction
  • Hypertonic solution that buffers hydrogen ions and reduces serum potassium level by up to 1mmol.
  • Onset within 30-60 minutes.
  • Peak action for 2-3 hours.
Indications
  • Crush Injury with ECG signs associated with hyperkalaemia.
  • ECG Signs of Hyperkalaemia
    • Tall tented T-waves
    • Absent p-waves
    • Widened QRS
    • Sine Wave
Contraindications
  • Hypersensitivity
  • Paediatrics under 2 months
Precautions / Notes
  • IV sodium bicarbonate can cause necrosis and IV patency must be ensured before administration.
Management
Critical Care Paramedic only
  • Adult
    • 8.4g in 100mL IV/IO slow push, once only
  • Paediatric
    • 84mg/kg (1mL/kg) IV/IO slow push, once only
Special Considerations
  • Allergy
  • Cerebral Oedema
  • CCF

References
References
Presentation
Vial with 8.4g in 100mL solution for injection.

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Directorate
Clinical Services

Responsible Manager
Head of Clinical Services

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