Name of Drug Classification and Indication and Side Effects or Adverse Nursing Responsibilities

(Dosage, Route, Mechanism of Action Contraindication Reactions

Frequency, Timing)

Generic Name: Classification: Indication: Hypernatremia and Observe the 10 rights of

Sodium bicarbonate Fluids, Electrolyte, Treatment of metabolic serum osmolarity, medication.
Blood Products, And acidosis, promotion of paravenous
Brand Name: administrations may lead
Haematological gastric, systemic and urine
Sodium bicarbonate
Drugs alkalinization in the case of to tissue necrosis.  Obtain patient history
intoxication with weak including drug history
Dosage: 50meq/50ml organic acids.
Mechanism of Action: and any hypersensitivity.
Increases plasma Contraindication:
Route: IVTT bicarbonate, neutralizes Hypoventilation,  Assess respiratory and
gastric acid which forms hypocalcemia, increase
serum osmolarity, further in
pulse rate, rhythm,
Frequency: Now water, sodium chloride,
carbon dioxide, and raises all situations where sodium depth, lung sounds and
blood pH. intake must be restricted like
cardiac insufficiency, edema notify the physician.
hypertension, eclampsia,
severe kidney insufficiency.  Assess for carbon
dioxide in GI tract, may
lead to perforation if
ulcer is severe.
 Test and monitor urine
pH, urinary output,
during beginning
treatment.
 If patient has edematous
tendency, notify
physician.
 If patient is vomiting
withhold medication and
immediately inform the
physician.
 If the patient exhibits
shortness of breath and
hyperpnea, immediately
inform the physician.
Inform physician if relief is
not obtained or if the patient