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    Sodium bicarbonate is used to treat hyperacidity and reverse metabolic acidosis. It works by buffering excess hydrogen ions to raise blood pH. Common side effects include bloating, nausea, and vomiting. Long term use with dairy products increases the risk of milk-alkali syndrome. Nursing responsibilities are to monitor for side effects, educate the patient on proper administration and risks of drug interactions and long term use, and advise reporting symptoms like edema or difficulty breathing.

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    LACIERDA_DRUG STUDY

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    Sodium bicarbonate is used to treat hyperacidity and reverse metabolic acidosis. It works by buffering excess hydrogen ions to raise blood pH. Common side effects include bloating, nausea, and vomiting. Long term use with dairy products increases the risk of milk-alkali syndrome. Nursing responsibilities are to monitor for side effects, educate the patient on proper administration and risks of drug interactions and long term use, and advise reporting symptoms like edema or difficulty breathing.

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    12 views5 pages

    Lacierda - Drug Study

    Uploaded by

    Rizaxine Lach
    Sodium bicarbonate is used to treat hyperacidity and reverse metabolic acidosis. It works by buffering excess hydrogen ions to raise blood pH. Common side effects include bloating, nausea, and vomiting. Long term use with dairy products increases the risk of milk-alkali syndrome. Nursing responsibilities are to monitor for side effects, educate the patient on proper administration and risks of drug interactions and long term use, and advise reporting symptoms like edema or difficulty breathing.

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    SODIUM BICARBONATE

    A Drug Study presented to


    The Faculty of Nursing Department
    Ms. Nympha Fernando, RN, MN

    In Partial Fulfilment of
    The Requirements in NCM 219 – RLE
    PRIMARY NURSING ROTATION

    By
    Riza Joy Lacierda, St.N
    BSN 4M – GROUP 2

    September 14, 2022


    Generic Name: Sodium Bicarbonate

    Brand Name: Supracil


    Classification: Pharmacologic class: Electrolyte
    Therapeutic class: Antacid
    Mode of Action: Reverses metabolic acidosis by buffering excess
    hydrogen ions, raising plasma bicarbonate content, and
    raising blood pH. Additionally, it reduces hyperacidity
    symptoms by buffering or neutralizing existing stomach
    acid to raise the pH of the stomach's contents.
    Suggested Dose and PO;
    Route: Adults and adolescents: 325 mg to 2 g daily to four
    times a day, as needed.
    Maximum: 16 g daily
    Children ages 6 to 12: 520 mg, repeated once after 30
    min, as needed.
    Indication: To treat hyperacidity
    Contraindication: Loss of chloride through vomiting or continuous
    gastrointestinal suction
    Use of diuretic therapy known to produce a
    hypochloremic alkalosis
    Side Effects: Bloating, dizziness, nausea, vomiting, swelling of feet
    and legs
    Adverse Effects: CNS: Mental or mood changes
    CV: Irregular heartbeat, peripheral edema (with large
    doses), weak pulse
    EENT: Dry mouth
    GI: Abdominal cramps, thirst
    MS: Muscle spasms, myalgia
    SKIN: Extravasation with necrosis, tissue sloughing, or
    ulceration
    Drug Interaction: Drugs:
    amphetamines, quinidine: Decreased urinary excretion
    of these drugs, possibly resulting in toxicity
    calcium-containing products: Increased risk of milk-alkali
    syndrome
    ciprofloxacin, norfloxacin, ofloxacin: Decreased solubility
    of these drugs, leading to crystalluria and nephrotoxicity
    citrates: Increased risk of systemic alkalosis; increased
    risk of calcium calculus formation and hypernatremia in
    patients with history of uric acid calculi
    digoxin: Possibly elevated digoxin level

    Food:
    Dairy products: increased risk of milk-alkali syndrome
    with prolonged use of sodium bicarbonate
    Nursing Responsibilities: 1. Advise the patient to administer the medicine
    exactly as prescribed by the doctor
    R: to have an effective treatment.
    2. Ask the patient if he/she is allergic to Sodium
    Bicarbonate or any of its components
    R: to avoid any allergic reactions that can worsen
    the health of the patient.
    3. Monitor the side effects of the drug
    R: to know if the patient is having the common
    side effects or other serious side effects.
    4. Educate the patient not to take large amounts of
    dairy products or for longer than 2 weeks
    R: to prevent milk-alkali.
    5. Advise the patient to avoid taking other OTC
    drugs without prescriber’s approval
    R: to avoid drug interactions.
    6. Advise the patient to report immediately if
    experiencing hypertension, edema, difficulty
    breathing, or crackles
    R: to refer to the physician for fluid overload.
    7. Be aware that long term use of oral preparation
    with milk or calcium can cause milk-alkali
    syndrome
    R: to educate the patient about the possibilities of
    long term use.
    8. Educate the patient to avoid self-medication with
    routine doses of sodium bicarbonate
    R: to prevent sodium retention and alkalosis.
    9. Advise the patient not to take sodium bicarbonate
    if he/she is in sodium restriction diet
    R: to prevent disruption in the diet since this
    medicine increases the amount of sodium in the
    body.
    10. Instruct the patient to take the medicine with a
    glass of water
    R: to regulate the pH level.
    Reference
    Ambrose, P. (2021). 2021 Nurse’s Drug Handbook. Jones & Bartlett Learning. pp 2404-
    2408.
    Cunha, J. (2021). Sodium Bicarbonate. RxList. Retrieved on September 9, 2022 from
    https://www.rxlist.com/consumer_sodium_bicarbonate_baking_soda/drugs-
    condition.htm.
    Woods, D. (2021). Nursing 2021: Drug Handbook. Wolters Kluwer. pp. 3287-3288.

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