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.
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Trade names | many |
Other names | sodium hydrogen carbonate, monosodium carbonate |
AHFS/Drugs.com | Monograph |
MedlinePlus | a682001 |
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Routes of administration | intravenous |
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Bioavailability | 100% (intravenous) |
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Formula | CHNaO3 |
Molar mass | 84.006 g·mol−1 |
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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.