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Use of bicarbonate


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We hardly use it anymore. There seems to be no evidence that administration of bicarbonate improves outcome. In fact, it can be detrimental. Wat does improve outcome is adequate treatment of the underlying cause of acidemia.

http://pediatrics.aappublications.org/content/122/4/831.long

Best regards

Christ-jan van Ganzewinkel

Neonatal Nurse Practitioner

NICU

Máxima Medical Centre, Veldhoven

The Netherlands

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  • 4 weeks later...
Guest sageaugie

A Term baby, out-born with perinatal asphyxia was referred to our unit at 2hrs of life.

Initial examination findings

HR 136/min; RR: 88/min; NIBPmean: 36mmHg; SPo2:94% with 2L/min O2 through head box, CFT=2sec, warm

Initial blood gases revealed metabolic acidosis with pH of 7.167, PCO2-34.9;HCO3-13.6 and BE of -16.

Should i correct the metabolic acidosis with sodium bicarbonate?

Edited by sageaugie
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