When utilizing sodium bicarbonate, it is important to understand that:
a. It may result in long term acidosis
b. Sodium bicarbonate will inactivate catecholamines administered through the same intravenous line unless the line is flushed thoroughly
c. It is indicated for overdoses of alkaline solutions
d. If used, sodium bicarbonate should be administered early, preferably following the first dose of epinephrine and prior to intubation to reverse the immediate effects of acidosis
b
Rationale: a. The use of sodium bicarbonate may result in transient acidosis which is correctable by adequate ventilation.
b. Correct.
c. Sodium bicarbonate is an alkaline solution and would worsen this condition.
d. Sodium bicarbonate is not indicated in cardiac arrest, and if used should be used late after the patient has been intubated and ventilated.
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