- 4,964
- 1,355
- 113
There is only one (maybe two) good reason to push (and I mean over like 10 minutes) an amp of bicarb, and it isn't for severe acidosis. Absolutely no reason to give an amp of bicarb as a "push" (i.e. faster than 10 minutes).
I agree about the bicarb push idea... as in don't. I was thinking perhaps added to a drip so that it goes in slower, or perhaps as a bolus only in a code. In that guy's state, the IVP idea might have been too much of a correction too quickly and caused more problems. That's pretty much what I meant by the bicarb in my post above. The edit time ran out on me before I could edit it to reflect the slow admin or just remember it for crump time idea.Would be interesting to see his initial labs (chemistry and ABG) at the ER if you can get them.
I agree, wouldn't recommend giving this kid bicarb pre-hospital without an extremely good reason.
Just for my own education, I'd have loved finding out what his labs were.