- Joined
- Feb 21, 2011
- Messages
- 120
- Reaction score
- 148
Was in a case the other day (Im an intern, so I was basically shadowing a CA-3) and we got an intraop ABG which showed a pH of 7.18. Attending asked for sodium bicarb to correct acidosis.
Its my understanding that when you give bicarb youre basically just dumping CO2 in the patient, and that any increase in pH is secondary to an increase in SID (i.e. increasing strong cation ion sodium, while not increasing strong anion.)
http://www.ncbi.nlm.nih.gov/pubmed/10631227
Do you guys use bicarb to correct metabolic acidosis?
Its my understanding that when you give bicarb youre basically just dumping CO2 in the patient, and that any increase in pH is secondary to an increase in SID (i.e. increasing strong cation ion sodium, while not increasing strong anion.)
http://www.ncbi.nlm.nih.gov/pubmed/10631227
Do you guys use bicarb to correct metabolic acidosis?