Sodium Bicarbonate
Alkalinizer which increases plasma bicarbonate, buffering H+ ion concentration and reversing acidosis.
Indications:
Metabolic acidosis. 
Cardiac arrest with prolonged down period. 
Symptomatic TCA overdose.
Common Side Effects: 
hyperreflexia, belching, distention, metabolic alkalosis
Potentially Lethal Side Effects:
Tetany, convulsions, cardiac arrest, paralytic ileus, apnea.
Contraindications:
Hypertension (relative contra), peptic ulver, renal disease, hypocalcemia.
Adult dosing:
All indications:
IV Bolus over 2 minutes: 1 mEq/kg
Pediatric dosing:
All indications:
IV Bolus over 2 minutes: 1 mEq/kg
Notes:
-   Cyclic antidepressant overdose includes sustained tachycardia >120/min, widened QRS, and/or hypotension refractory to IV fluid therapy.

-   Cyclic antidepressants include the following medications:  Amitriptyline, Amoxapine, Clomipramine, Desipramine, Dothiepin, Imipramine, Lofepramine, Maprotiline, Nortriptyline, Protriptyline, Trimipramine.
Hosted by www.Geocities.ws

1