Republic of the Philippines

MSU-Iligan Institute of Technology

COLLEGE OF NURSING
Level II AACCUP Accredited
Andres Bonifacio Avenue, 9200 Iligan City PhilippineS
Tel No.: (063) 63 2210744 / (063) 63 2214050 Local 4266

DRUG STUDY

BRAND NAME: Baking Soda, Citrocarbonate__GENERIC NAME: _Sodium bicarbonate________ DRUG CLASSIFICATION: __Alkalinizing Agents/ Antiulcer Agents_____

DOSAGE, ROUTE & DRUG ACTION DRUG-DRUG & DRUG-FOOD INDICATIONS CONTRAINDICATIONS SIDE EFFECTS ADVERSE
FREQUENCY INTERACTIONS BY SYSTEM REACTIONS
BY SYSTEM
RECOMMENDED Acts as an alkalinizing Drug-Drug: PO, IV: CV: edema.
 Metabolic/ None Known
Alkalinization of Urine agent by releasing  Following oral  Management respiratory GI: PO—
PO (Adults): bicarbonate ions. administration, may of metabolic alkalosis; flatulence, gastric
4 g initially. Then 1– 2 g q Following oral decrease absorption acidosis.  Hypocalcemia; distention.
4 hr or 1 tsp of powder q administration, of ketoconazole.  Used to  Hypernatremia; F and E:
4 hr PRN releases bicarbonate,  Concurrent use with alkalinize urine  Excessive chloride metabolic
PO (Children): 84– 840 which is capable of calcium-containing and promote loss; alkalosis,
mg/kg per day in divided neutralizing gastric antacids may lead to excretion of  Antidote hypernatremia,
doses. acid. milk-alkali syndrome. certain drugs following hypocalcemia,
IV (Adults and Children):  Urinary alkalinization in overdosage ingestion of hypokalemia,
2– 5 mEq/kg as a 4– 8 hr Therapeutic Effects: may result in situations strong mineral sodium and water
infusion -Alkalinization. decreased salicylate (phenobarbital acids; retention.
-Neutralization of or barbiturate blood , aspirin).  Patients on Local: irritation at
Antacid gastric acid. levels; sodium-restricted IV site.
PO (Adults):  Increases blood levels PO: diets (oral use as Neuro: tetany,
-Tablets/powder—325 Pharmacokinetics of quinidine,  Antacid. an antacid only); cerebral
mg– 2 g 1– 4 times daily A: Following oral mexiletine,  Renal failure (oral hemorrhage (with
or tsp q 2 hr as needed. administration, flecainide, or Unlabeled Use: use as an antacid rapid injection in
-Effervescent 1⁄2 powder excess bicarbonate is amphetamines; Stabilization of acid- only); infants).
—3.9– 10 g in water after absorbed and results  Increases risk of base status in  Severe abdominal
meals; in metabolic alkalosis crystalluria from cardiac arrest and pain of unknown
-patients >60 yr should and alkaline urine. fluoroquinolones treatment of life- cause, especially
receive 1.9– 3.9 g after D: Widely distributed  Decreases threatening if associated with
meals. into extracellular effectiveness of hyperkalemia. fever (oral use as
fluid. methenamine. an antacid only).
M and E: Sodium and  May negate the
Systemic Alkalinization/ bicarbonate are protective effects of
Cardiac Arrest excreted by the enteric-coated
IV (Adults and Children kidneys. products (do not
and Infants): Half-life: Unknown. administer within 1–
-Cardiac arrest/urgent 2 hr of each other).
situations—1 mEq/kg;
may repeat 0.5 mEq/kg q
10 min.
-Less urgent situations—
2– 5 mEq/ kg as a 4– 8 hr
infusion.

Renal Tubular Acidosis

PO (Adults):
0.5– 2 mEq/kg/day in 4–
5 divided doses.
PO (Children):
2– 3 mEq/kg/day in 3– 4
divided doses.

RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE)
Assessment:
 IV: Assess fluid balance (intake and output, daily weight, edema, lung
sounds) throughout therapy. Report symptoms of fluid overload if they
occur.
 Assess patient for signs of acidosis, alkalosis, hypernatremia, or
hypokalemia throughout therapy.
 Observe IV site closely. Avoid extravasation, as tissue irritation or
cellulitis may occur. Notify physician if infiltration occurs.
 Antacid: Assess patient for epigastric or abdominal pain and frank or
occult blood in the stool, emesis, or gastric aspirate.
 Obtain arterial blood gases (ABGs) frequently in emergency situations
 Monitor urine pH frequently when used for urinary alkalinization
Potential Nursing Diagnoses
 Impaired gas exchange (Indications)
 Excess fluid volume (Side Effects)
RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE)
Implementation
 This medication may cause premature dissolution of enteric-coated tablets in the
stomach.
 PO: Tablets must be taken with a full glass of water.
 IV Push: (Used in cardiac arrest or urgent situations. Administer by rapid bolus. Flush IV
line before and after administration n to prevent incompatible medications used in
arrest management from precipitating.
 Review symptoms of electrolyte imbalance with patients on chronic therapy
 Advise patient not to take milk products concurrently with this medication. Renal calculi
or hypercalcemia (milk-alkali syndrome) may result.
 Regularly monitor serum electrolyte levels and acid-base balance and monitor progress
Ealuation/Expected Outcome
● Increase in urinary pH.
● Clinical improvement of acidosis.
● Enhanced excretion of selected overdoses and poisonings.
 Republic of the Philippines
MSU-Iligan Institute of Technology
COLLEGE OF NURSING
Level II AACCUP Accredited
Andres Bonifacio Avenue, 9200 Iligan City PhilippineS
Tel No.: (063) 63 2210744 / (063) 63 2214050 Local 4266

DRUG STUDY

BRAND NAME:______________________________GENERIC NAME:________________________________ DRUG CLASSIFICATION:_____________________________

DOSAGE, ROUTE & DRUG ACTION DRUG-DRUG & DRUG- INDICATIONS CONTRAINDICATIONS SIDE EFFECTS ADVERSE REACTIONS
FREQUENCY FOOD INTERACTIONS BY SYSTEM BY SYSTEM
RECOMMENDED PRESCRIBED
 RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE) RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE)

Republic of the Philippines

MSU-Iligan Institute of Technology
COLLEGE OF NURSING
Level II AACCUP Accredited
Andres Bonifacio Avenue, 9200 Iligan City PhilippineS
Tel No.: (063) 63 2210744 / (063) 63 2214050 Local 4266

DRUG STUDY

BRAND NAME:______________________________GENERIC NAME:________________________________ DRUG CLASSIFICATION:_____________________________

DOSAGE, ROUTE & DRUG ACTION DRUG-DRUG & DRUG- INDICATIONS CONTRAINDICATIONS SIDE EFFECTS ADVERSE REACTIONS
FREQUENCY FOOD INTERACTIONS BY SYSTEM BY SYSTEM
RECOMMENDED PRESCRIBED
RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE) RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE)
 Republic of the Philippines
MSU-Iligan Institute of Technology
COLLEGE OF NURSING
Level II AACCUP Accredited
Andres Bonifacio Avenue, 9200 Iligan City PhilippineS
Tel No.: (063) 63 2210744 / (063) 63 2214050 Local 4266

DRUG STUDY

BRAND NAME:______________________________GENERIC NAME:________________________________ DRUG CLASSIFICATION:_____________________________

DOSAGE, ROUTE & DRUG ACTION DRUG-DRUG & DRUG- INDICATIONS CONTRAINDICATIONS SIDE EFFECTS ADVERSE REACTIONS
FREQUENCY FOOD INTERACTIONS BY SYSTEM BY SYSTEM
RECOMMENDED PRESCRIBED
RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE) RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE)
 Republic of the Philippines
MSU-Iligan Institute of Technology
COLLEGE OF NURSING
Level II AACCUP Accredited
Andres Bonifacio Avenue, 9200 Iligan City PhilippineS
Tel No.: (063) 63 2210744 / (063) 63 2214050 Local 4266

DRUG STUDY

BRAND NAME:______________________________GENERIC NAME:________________________________ DRUG CLASSIFICATION:_____________________________

DOSAGE, ROUTE & DRUG ACTION DRUG-DRUG & DRUG- INDICATIONS CONTRAINDICATIONS SIDE EFFECTS ADVERSE REACTIONS
FREQUENCY FOOD INTERACTIONS BY SYSTEM BY SYSTEM
RECOMMENDED PRESCRIBED
RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE) RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE)
 Republic of the Philippines
MSU-Iligan Institute of Technology
COLLEGE OF NURSING
Level II AACCUP Accredited
Andres Bonifacio Avenue, 9200 Iligan City PhilippineS
Tel No.: (063) 63 2210744 / (063) 63 2214050 Local 4266

DRUG STUDY

BRAND NAME:______________________________GENERIC NAME:________________________________ DRUG CLASSIFICATION:_____________________________

DOSAGE, ROUTE & DRUG ACTION DRUG-DRUG & DRUG- INDICATIONS CONTRAINDICATIONS SIDE EFFECTS ADVERSE REACTIONS
FREQUENCY FOOD INTERACTIONS BY SYSTEM BY SYSTEM
RECOMMENDED PRESCRIBED
RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE) RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE)
 Republic of the Philippines
MSU-Iligan Institute of Technology
COLLEGE OF NURSING
Level II AACCUP Accredited
Andres Bonifacio Avenue, 9200 Iligan City PhilippineS
Tel No.: (063) 63 2210744 / (063) 63 2214050 Local 4266

DRUG STUDY

BRAND NAME:______________________________GENERIC NAME:________________________________ DRUG CLASSIFICATION:_____________________________

DOSAGE, ROUTE & DRUG ACTION DRUG-DRUG & DRUG- INDICATIONS CONTRAINDICATIONS SIDE EFFECTS ADVERSE REACTIONS
FREQUENCY FOOD INTERACTIONS BY SYSTEM BY SYSTEM
RECOMMENDED PRESCRIBED
RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE) RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE)
 Republic of the Philippines
MSU-Iligan Institute of Technology
COLLEGE OF NURSING
Level II AACCUP Accredited
Andres Bonifacio Avenue, 9200 Iligan City PhilippineS
Tel No.: (063) 63 2210744 / (063) 63 2214050 Local 4266

DRUG STUDY

BRAND NAME:______________________________GENERIC NAME:________________________________ DRUG CLASSIFICATION:_____________________________

DOSAGE, ROUTE & DRUG ACTION DRUG-DRUG & DRUG- INDICATIONS CONTRAINDICATIONS SIDE EFFECTS ADVERSE REACTIONS
FREQUENCY FOOD INTERACTIONS BY SYSTEM BY SYSTEM
RECOMMENDED PRESCRIBED
RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE) RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE)
 Republic of the Philippines
MSU-Iligan Institute of Technology
COLLEGE OF NURSING
Level II AACCUP Accredited
Andres Bonifacio Avenue, 9200 Iligan City PhilippineS
Tel No.: (063) 63 2210744 / (063) 63 2214050 Local 4266

DRUG STUDY

BRAND NAME:______________________________GENERIC NAME:________________________________ DRUG CLASSIFICATION:_____________________________

DOSAGE, ROUTE & DRUG ACTION DRUG-DRUG & DRUG- INDICATIONS CONTRAINDICATIONS SIDE EFFECTS ADVERSE REACTIONS
FREQUENCY FOOD INTERACTIONS BY SYSTEM BY SYSTEM
RECOMMENDED PRESCRIBED
RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE) RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE)
 Republic of the Philippines
MSU-Iligan Institute of Technology
COLLEGE OF NURSING
Level II AACCUP Accredited
Andres Bonifacio Avenue, 9200 Iligan City PhilippineS
Tel No.: (063) 63 2210744 / (063) 63 2214050 Local 4266

DRUG STUDY

BRAND NAME:______________________________GENERIC NAME:________________________________ DRUG CLASSIFICATION:_____________________________

DOSAGE, ROUTE & DRUG ACTION DRUG-DRUG & DRUG- INDICATIONS CONTRAINDICATIONS SIDE EFFECTS ADVERSE REACTIONS
FREQUENCY FOOD INTERACTIONS BY SYSTEM BY SYSTEM
RECOMMENDED PRESCRIBED
RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE) RESPONSIBILITIES IN THE NURSING PROCESS (ADPIE)