<unk> , also known as<unk>  hydrogen carbonate, is a medication primarily used to treat severe metabolic acidosis. For this purpose it is generally only used when the pH is less than 7.1 and when the underlying cause is either diarrhea, vomiting, or the kidneys. Other uses include high blood potassium, tricyclic antidepressant overdose, and cocaine toxicity as well as a number of other poisonings. It is given by injection into a vein. Side effects may include low blood potassium, high blood<unk> , and swelling. It is not recommended in people with low blood calcium.<unk><unk>  is in the alkalinizing family of medication. It works by increasing blood<unk> , which buffers excess hydrogen ion and raises blood pH. Commercial production of<unk><unk>  began between 1791 and 1823.<unk>  medical use began around the 1950s. It is on the World Health Organization's List of Essential Medicines.<unk><unk>  is available as a generic medication.
Intravenous sodium bicarbonate
Hemodialysis
Intravenous ascorbic acid
Home hemodialysis
Intravenous sugar solution
Gastric pacing
Intravenous iron infusion
Peritoneal dialysis