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Dr.K.G.MoniGandhi

Often after sodium bicarbonate is given, the potassium drops. This is because the sodium bicarbonate causes the potassium to re-enter the cell. Sodium bicarbonate acts a a buffer for acidosis. Sodium bicarbonate increases the pH. The normal blood pH is 7.35-7.45. It is sometimes given in DKA and or renal failure. You will often see patients in DKA have ABGs drawn. Electrolytes must also be monitored very closely when this is given. Some other abnormal labs, as a potential result of sodium bicarbonate use: hypocalcemia, hypernatremia. There is also potential risk to over correct- and go from metabolic acidosis to metabolic

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