sodium bicarbonate infusion in NS | Student Doctor Network
2013年1月17日 · Reasoning = most drips call for 3 amps of sodium bicarb which is a total of 150 meq of sodium. Add that to the sodium in 1 liter of NS which is 154 meq you have 304 meq of sodium in your 1 liter drip. way too much for most patients. Mix 150 meq sodium bicarb in D5w or sterile water. Or do 75 meq of sodium bicarb in 1 liter of 1/2 NS.
Bicarb drips are a myth. Until they're not. - Student Doctor …
2007年8月21日 · Unggggh. I have three intensivists at my main shop; none of which can agree as to when to start a bicarb drip in the setting of metabolic acidosis. Its especially funny when they hand-off care. One note: "Patient has mild metabolic …
Cheat sheet for mixing drips/bags? | Student Doctor Network
2009年10月1日 · I tell them that I can make a standard Epinephrine drip about as fast and they say agree instantly. My drip is made bedside but I still don't think it would be considered a "dirty epi". - Totally agree, if they ask for a bicarb drip at some point I'm calling pharmacy to make one up and deliver. I usually get it in 5-10 minutes.
Question about sodium bicarb IV | Student Doctor Network
2009年2月28日 · If smaller (or constant) corrections are required (ex. from renal failure) bicarb can be administered as a drip. Again, the parameters vary with patient status. Usually 50-150meqs/L at 50-200ml/hr. It may be diluted in a variety of fluids (Straight drug can also be given as a drip.) SWFI, NS, D5, 1/2NS etc, etc. again depending on patient factors.
Hypothermic protocol | Student Doctor Network
2013年1月16日 · anyone have any good protocols they can share with me? One of our new younger cardio guys, our intensivist and I were talking about this last night. Had a Vfib arrest with probable STEMI come in after being shocked like 5 times in the field last night. Massive cerebral edema, ph 6.9 despite...
DKA + Hyper K, ? Bicarb | Student Doctor Network
2010年1月26日 · It seems like in Vegas all the DKA has some degree of renal failure and hyperkalemia as opposed to the classic normal to low K that you have to monitor for decreases as the insulin drives the K intracellular. I've got a guy right now with a glucose of 900, Bicarb of 11, gap of 34, K of 6.7 and...
Bicarb drip with NS drip | Student Doctor Network
2013年8月14日 · Is it common to give a d5 with 100 meq of bicarb with a NS drip? Forums Communities Pre-Med Medical Resident Audiology Dental Optometry Pharmacy Physical Therapy Podiatry Psychology Rehab Sci Veterinary
Bicarb in ketoacidosis | Student Doctor Network
2008年8月13日 · No patient care oriented outcomes showing improvement in mortality, length of stay, insulin requirement or hemodynamic stability with bicarb. additionally, paradoxical CSF acidosis, possible cerebral edema (kids), lack of benefit for anyone with pH >7 so they changed to 6.9 because there's no great data at that point edit: i am not talking about the crashing DKA pt …
Pushing Bicarb Pre-intubation | Student Doctor Network
2003年11月6日 · In the setting of metabolic acidosis (severe sepsis, salicylates, etc) with pH ~7 or lower, I know typically a bicarb drip gets started (especially for salicylate poisoning)... however, when these patients need to be intubated, there's a few potential problems: 1) we can't possibly replace their own respiratory rate/compensation 2) sometimes ...
Another good case for the brave of heart - Student Doctor …
2008年1月13日 · Another great case that illustrates a person who would have been the poster-child for ASA 5E that I blundered into last night: 54 yo female, who was a nursing home dump on our ICU shows up with a likely infected peritoneal dialysis catheter and distended belly. Outlying hospital attempted to...