A patient in cardiac arrest is ordered to receive an initial dose of sodium bicarbonate intravenously to correct metabolic acidosis. What initial dose of sodium bicarbonate will this 187-lb individual receive?
A) 50 mEq
B) 75 mEq
C) 85 mEq
D) 100 mEq
Ans: C
Feedback: Sodium bicarbonate is administered to correct metabolic acidosis that is refractory to standard advanced cardiac life support interventions. An initial dose of 1 mEq/kg IV is administered. After the initial dose, the dose is based on the base deficit calculated from the arterial blood gas values. For a patient weighing 187 lb (85 kg), the patient will receive an initial sodium bicarbonate dose of 85 mEq IV.
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