Description

• Clear solution (8.4%) 1 mmol/ml. No bacteriostat added.

• Slow IV injection and slow IV infusions are charted on stat page of drug chart.

Continuous IV infusion via syringe pump charted on fluid chart giving:

• rate in ml/hour
• dose in mmol/hour

Also charted on drug chart under continuous infusions giving:

• amount of drug to be added
• base fluid, type and volume
• mmol/kg/ml
• Continuous IV infusion via a volumetric infusion pump charted on fluid chart only stating molar sodium bicarbonate and volume to be added.

Administration

Slow IV Injection

1. Administered by doctor / NS-ANP. In the emergency situation the nurse on the Neonatal IV Drug Register may administer under the direct supervision of the doctor present.
2. Dilute prior to use 1:1 with sterile water for injection.
3. Filter prior to administration through a 5 micron filter.
4. Administer by slow IV injection. Rate not to exceed 1 mmol/minute.
5. Incompatible with calcium. Compatible with NS, D5W, D10W.
6. Stop IV fluids. Flush with NS before and after administration of sodium bicarbonate.

1. Administered by a nurse with Neonatal IV Drug Certification.
2. Dilute prior to use 1:1 with sterile water for injection.
3. Filter prior to administration through a 5 micron filter.
4. Administer by slow IV infusion over 30 minutes using a syringe pump.
5. Incompatible with calcium. Compatible with NS, D5W, D10W.
6. Flush with NS before and after administration of sodium bicarbonate.

1. Via syringe pump: Dilute prior to use on specific medical order.
2. Via IV fluid bag: Add to IV fluids as ordered by medical staff (incompatible with calcium in solution).

1. Give with feeds.

Observation and Documentation

1. Monitor for adverse reaction
2. Monitor acid-base status
3. Include volume in daily fluid intake.

Storage

• Unopened - at room temperature <30°C.
• Discard ampoule after use.

Selected References