Medical Diagnosis: hydrocephalus, status post- shunt insertion
Category: Indication/ Contraindication, Mechanism of Action, Side Effects/ Adverse Effects, Nursing Considerations
1. Sodium bicarbonate is indicated for treatment of metabolic acidosis and promotion of gastric, systemic and urine alkalinization. It works by increasing plasma bicarbonate levels which raises blood pH.
2. Side effects include hypernatremia, serum hyperosmolarity, and tissue necrosis with paravenous administration.
3. Nurses should monitor vital signs, fluid balance, and manifestations of hypokalemia and hyponatremia, and report symptoms such as
Medical Diagnosis: hydrocephalus, status post- shunt insertion
Category: Indication/ Contraindication, Mechanism of Action, Side Effects/ Adverse Effects, Nursing Considerations
1. Sodium bicarbonate is indicated for treatment of metabolic acidosis and promotion of gastric, systemic and urine alkalinization. It works by increasing plasma bicarbonate levels which raises blood pH.
2. Side effects include hypernatremia, serum hyperosmolarity, and tissue necrosis with paravenous administration.
3. Nurses should monitor vital signs, fluid balance, and manifestations of hypokalemia and hyponatremia, and report symptoms such as
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Medical Diagnosis: hydrocephalus, status post- shunt insertion
Category: Indication/ Contraindication, Mechanism of Action, Side Effects/ Adverse Effects, Nursing Considerations
1. Sodium bicarbonate is indicated for treatment of metabolic acidosis and promotion of gastric, systemic and urine alkalinization. It works by increasing plasma bicarbonate levels which raises blood pH.
2. Side effects include hypernatremia, serum hyperosmolarity, and tissue necrosis with paravenous administration.
3. Nurses should monitor vital signs, fluid balance, and manifestations of hypokalemia and hyponatremia, and report symptoms such as
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
Medical Diagnosis: hydrocephalus, status post- shunt insertion
Category:
Indication/ Mechanism of Action Side Effects/ Adverse Nursing Considerations
Contraindication Effects INDICATIONS: Increases plasma • Hypernatremia • Monitor vital Generic Name: Treatment of metabolic bicarbonate, which • Serum signs and notify the sodium bicarbonate acidosis; promotion of excess buffer H ion hyperosmolarity physician of gastric, systemic and concentrations; reverses • Paravenous abnormalities. Brand Name: urine alkalinization in metabolic acidosis; administration may • Obtain patient the case of intoxication neutralizes gastric acid, lead to tissue necrosis history (drug history with weak organic acids; which forms water, and any Classification: in order to improve the NaCl, CO2; raises blood hypersensitivity). Fluids & Electrolytes solubility of drug pH • Monitor fluid substances that are balance (input-output Dosage: poorly soluble in neutral ratio, weight, edema). 17 meqs NaHC03 +17 ml acid medium; and in the • Monitor SW case of hemolysis. manifestations of hypokalemia and Frequency: CONTRADICTIONS: hyponatremia NOW Hypoventilation, • Report any hypocalcemia, increased symptoms such as Route: serum osmolarity, nausea, vomiting and IV Drip further in all situations anorexia. where sodium intake must be restricted.