bicarbonate
Last reviewed 01/2018
Bicarbonate is rarely needed. Continuing acidosis usually means insufficient resuscitation or insufficient insulin.
Bicarbonate should only be considered in children who are profoundly acidotic (pH< 6.9) and shocked with circulatory failure. Its only purpose is to improve cardiac contractility in severe shock.
Seek expert advice about the quantity before initiating bicarbonate treatment (1).
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