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.
- 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.
| Body Weight | Dose | Frequency | Tracking Notes |
|---|---|---|---|
| Infants/Children | 1 mEq to 2 mEq per kg | Slow IV infusion | Ensure adequate ventilation (CO2 removal) during use. |
Formulation
Purpose
Correction of metabolic acidosis and treatment of certain toxic ingestions (e.g., tricyclic antidepressants).
Generic Name
Sodium BicarbonateBranded 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
CAUTIONSodium Bicarbonate (Pediatric): Alcohol may worsen dehydration, stomach upset, or interfere with nutritional recovery. Avoid or limit alcohol.
Pregnancy
SAFE IF PRESCRIBEDSodium Bicarbonate (Pediatric): Generally safe in pregnancy when used at recommended doses or as prescribed. Avoid excessive supplementation.
Breast Feeding
SAFESodium Bicarbonate (Pediatric): Generally compatible with breastfeeding when used at recommended doses. Ask a healthcare provider before high-dose use.
Driving
SAFESodium Bicarbonate (Pediatric): Usually does not affect driving. Avoid driving only if you feel unwell, dizzy, or weak from the underlying condition.
Liver
SAFE IF PRESCRIBEDSodium Bicarbonate (Pediatric): Usually safe at recommended doses, but high-dose or fat-soluble vitamin use should be medically supervised in liver disease.
Kidney
CAUTIONSodium Bicarbonate (Pediatric): Kidney disease may require avoiding or adjusting minerals and electrolytes such as potassium, magnesium, calcium, or phosphate.