Nephrology · Alkalinising agent
Sodium Bicarbonate (oral)
Dose
500–1000 mg PO TDS; titrate to serum bicarbonate 22–26 mmol/L.
Use
Chronic metabolic acidosis of CKD — slows progression and preserves muscle mass.
Monitoring
Bicarbonate, BP, oedema, potassium.
Side effects
- • Sodium/volume overload
- • Bloating
- • Hypokalaemia
Related in WardRound
Hyperkalaemia
Protocol · K⁺ > 5.5 mmol/L
Tricyclic Antidepressant Overdose
Protocol · QRS widening = give bicarbonate
Salicylate Poisoning
Protocol · Alkaline diuresis + dialysis
Cyanide Poisoning
Protocol · Hydroxocobalamin
Methanol / Ethylene Glycol Poisoning
Protocol · Fomepizole + dialysis
Aluminium Phosphide Poisoning
Protocol · Coconut oil + supportive
Epilepsy
Topic · Neurology
TCA Overdose
Topic · Toxicology
Always confirm dose against your local formulary / BNF before prescribing.
