Sodium Bicarbonate (Pediatric)

An alkalizing agent that increases blood and urine pH. In infants, the 4.2% concentration is used to reduce the risk of brain bleeding associated with the 8.4% adult form.

Dosage by Body Weight

Pediatric dose: 1-2 mEq/kg per dose. Requires blood gas monitoring.

  1. Body Weight
    Infants/Children
    Dose
    1 mEq to 2 mEq per kg
    Frequency
    Slow IV infusion
    Tracking Notes
    Ensure adequate ventilation (CO2 removal) during use.

Formulation

Injection (4.2%)Tablet

Purpose

Correction of metabolic acidosis and treatment of certain toxic ingestions (e.g., tricyclic antidepressants).

Generic Name

Sodium Bicarbonate

Branded Drug Names

Sodium Bicarbonate (Pediatric) is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:

Scheduled Drug

Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.

Alternatives

Safety Advice

Alcohol

CAUTION

Sodium Bicarbonate (Pediatric): Alcohol may worsen dehydration, stomach upset, or interfere with nutritional recovery. Avoid or limit alcohol.

Pregnancy

SAFE IF PRESCRIBED

Sodium Bicarbonate (Pediatric): Generally safe in pregnancy when used at recommended doses or as prescribed. Avoid excessive supplementation.

Breast Feeding

SAFE

Sodium Bicarbonate (Pediatric): Generally compatible with breastfeeding when used at recommended doses. Ask a healthcare provider before high-dose use.

Driving

SAFE

Sodium Bicarbonate (Pediatric): Usually does not affect driving. Avoid driving only if you feel unwell, dizzy, or weak from the underlying condition.

Liver

SAFE IF PRESCRIBED

Sodium Bicarbonate (Pediatric): Usually safe at recommended doses, but high-dose or fat-soluble vitamin use should be medically supervised in liver disease.

Kidney

CAUTION

Sodium Bicarbonate (Pediatric): Kidney disease may require avoiding or adjusting minerals and electrolytes such as potassium, magnesium, calcium, or phosphate.

Disclaimer: This information is for educational purposes only. WHO references and weight bands are simplified for tracking and must not replace medical advice. Always consult with a healthcare professional before starting or changing any medication.