50 mL (1 amp) IV push for severe acidemia and patient is adequately ventilated
Frequency:
1 mEq/kg IV bolus dose initially (~1-2 amps for average adult)
0.5 mEq/kg/dose q10min
OR tailor to serial ABGs
1 mEq/kg IV bolus dose initially (~1-2 amps for average adult)
0.5 mEq/kg/dose q10min
OR tailor to serial ABGs
IV drip
150 mEq/1000 mL inD5W
May reduce 28 day mortality in patients with severe AKI and decrease need for dialysis (although this study used 4.2%<unk> , a product not widely available within the United States)
150 mEq/1000 mL inD5W
May reduce 28 day mortality in patients with severe AKI and decrease need for dialysis (although this study used 4.2%<unk> , a product not widely available within the United States)
Enhance urinary elimination of salicylates, methotrexate and phenobarbital
Goal: serum pH of 7.5, urinary pH of 8.0
Check K+ as well
IV drip
150 mEq (3 amps) of 8.4% solution in 1000 ml D5W + potassium 20-40 mEq, max. 250 cc/hour
150 mEq (3 amps) of 8.4% solution in 1000 ml D5W + potassium 20-40 mEq, max. 250 cc/hour
Sodium bicarbonate
Dextrose
Glucagon
Activated charcoal
N-Acetylcysteine
Calcium chloride
Flumazenil
Fomepizole