SDN Members don't see this ad. (About Ads) so, outside of crash carts, we're down to <20 50mEq amps of bicarb. Apparently there was a TCA overdose over the weekend. We've been converting bicarb gtt's to sodium acetate on a mEq:mEq basis for other patients. Any experience using acetate pushes in place of bicarb? There's also the hypertonic saline +/- hyperventilation idea.