Intravenous sodium bicarbonate

Intravenous sodium bicarbonate, also known as sodium 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.

Intravenous sodium bicarbonate
Clinical data
Trade namesmany
Other namessodium hydrogen carbonate, monosodium carbonate
AHFS/Drugs.comMonograph
MedlinePlusa682001
License data
Routes of
administration
intravenous
ATC code
Legal status
Legal status
  • US: ℞-only
Pharmacokinetic data
Bioavailability100% (intravenous)
Identifiers
  • sodium hydrogen carbonate
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
Chemical and physical data
FormulaCHNaO3
Molar mass84.006 g·mol−1
3D model (JSmol)
SMILES
  • C(=O)(O)[O-].[Na+]
  • InChI=1S/CH2O3.Na/c2-1(3)4;/h(H2,2,3,4);/q;+1/p-1
  • Key:UIIMBOGNXHQVGW-UHFFFAOYSA-M
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Side effects may include low blood potassium, high blood sodium, and swelling. It is not recommended in people with low blood calcium. Sodium bicarbonate is in the alkalinizing family of medication. It works by increasing blood bicarbonate, which buffers excess hydrogen ion and raises blood pH.

Commercial production of sodium bicarbonate began between 1791 and 1823. Intravenous medical use began around the 1950s. It is on the World Health Organization's List of Essential Medicines. Sodium bicarbonate is available as a generic medication.

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