Format -5
Neatness -5
Drawing -10
Content -45
Nsg. Resp. -45
DRUG STUDY
(Sodium bicarbonate)
Submitted by:
Dovenne Jade A. Cania, SN ADDU
Group 1 – 3F
Submitted to;
Vivien Go, RN, MN
Clinical Instructor
September 21, 2009
DRUG STUDY: SODIUM BICARBONATE
Adverse Effects:
Cerebral hemorrhage, CHF (aggravated), Tetany, Pulmonary edema
Nursing Responsibilities:
1.) Hypertonic solutions must be administered by trained personnel. Avoid
extravasations as tissue irritation or cellulites may result.
2.) Administer isotonic solutions slowly; too rapid administration may result in
death due to cellular acidity. Check rate of flow frequently.
3.) If on low continuous or intermittent NG suctioning or vomiting, assess for
evidence of excessive chloride loss.
4.) Record I&O. observe for dry skin and mucous membranes, polydipsia,
polyuria, and air hunger; may indicate a reversal of metabolic acidosis. With
acidosis, assess for the relief of dyspnea and hyperpnea.
5.) Chew tablets thoroughly and take only as prescribed. Follow with a full glass
of water. Don’t take with milk or yogurt; will fizz up.
6.) Consuming sodium bicarbonate with milk or calcium may result in a milk-
alkali syndrome. Report immediately if anorexia, N&V, or mental confusion
occurs.
7.) If routinely taking excessive PO preparations of sodium bicarbonate to relieve
gastric distress, a rebound reaction may occur, resulting either in an increased
acid secretion or systemic alkalosis. Persistent symptoms of gastric distress
especially with chest pain, SOB, diarrhea or dark tarry BMs require medical
intervention.
8.) Avoid OTC preparations that contain sodium bicarbonate, such as
Alka/Bromo-Seltzer, Gaviscon, or Fizrin.
Bibliography:
Spratto, G. & Woods, A. “Nurse’s Drug Handbook”. Thomson Delmar Learning. 2008
Edition.