**6.4.38 Sodium bicarbonicum 8.4%**

*Uses:* Treatment of normal anion gap metabolic acidosis caused by renal or GI losses. Sodium bicarbonate is not a recommended therapy in neonatal resuscitation guidelines. Administration during brief CPR may be determinal.

*Dose:* 1 to 2 mEq/kg IV over at least 30 minutes

*Adverse Effects:* Excess sodium in the body, which can manifest itself in the body of water retention, swelling, weakness, anxiety, swollen tongue, dizziness and headaches, fever, decrease in saliva and urine, pressure drop, rapid heart rate, apnea (Young & Mangum, 2010).
