Drug Study- Sodium Bicarbonate

Patient’s Name: Cornita

Diagnosis: Cervical Cancer

Generic Name

Brand Name

Classification

Action

Route/ Dosage

Indication

Contraindication

Adverse Reactions

Treatment of metabolic acidosis, promotion of gastric, systemic and urine alkalinization in the case of intoxication with weak organic acids.

Hypoventilation , hypocalcemia, increase serum osmolarity, further in all situations where sodium intake must be restricted like cardiac insufficiency, edema hypertension, eclampsia, severe kidney insufficiency.

Hypernatremia and serum osmolarity, paravenous administrations may lead to tissue necrosis.

Nursing Responsibilities

S O

S

D

O

I

D

U M

I U M

B

B

I

I

C

C

A

A

R

R

B O N A T

Fluids, Electrolyte, Blood Products, And Hematological Drugs

Increases plasma bicarbonate, neutralizes gastric acid which forms water, sodium chloride, carbon dioxide, and raises blood pH.

Oral route/ TID

•

drug history and any hypersensitivity. •

Assess respiratory and pulse rate, rhythm, depth, lung sounds and notify the physician.

•

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.

•

B O

Obtain patient history including

If patient has edematous tendency, notify physician.

•

If patient is vomiting withhold

N

medication and immediately

A

inform the physician.

T

•

If the patient exhibits shortness of breath and hyperpnea,

E

immediately inform the

E

physician. •

Inform physician if relief is not obtained or if the patient demonstrate any symptoms suggest bleeding, such as black tarry stools or coffee ground emesis.

•

Caution patient to immediately report to physician if symptoms such as nausea, vomiting and anorexia occurs.

•

Advise the patient to notify the physician if indigestion is

Reference: Nursing Drug Guide pp. 479-481, 2007 edition.