Questions | Reviews
I am concerned with having too much salt or sodium in my diet because of possibilities of high blood pressure. Would alka seltzer have a high sodium content or is sodium bicarbanate a different thing? Thanks! Judith Allison
by Judith Allison in St George, UT, 05/27/2009
On Nov. 15, I had eaten something that upset my stomach. I regertated the entire portion eaten--none digested, shortly after consuming . I am a diabetic, so I experienced insulin shock--still concious my co workers calle...
by c hill in Ft. Worth, Texas, 11/18/2006
My Dr. has prescribed 650 mg of sodium bicarbonate, (2) in the morning and (2) at night. I am diabetic. Why is it necessary to take this amount?
by Ralph Coggins in McDonough GA, 05/18/2008
how much sodium is present in 100 grams of soda mint ?
by aditi in india, 10/31/2006
I need to know the salt content of a 650 mg (10 grain) tablet of sodium bicarb
by kathy in Owensboro, KY, 02/25/2009
Classification: Alkalinizing agent, antacid, electrolyte
Action/Kinetics: The antacid action is due to neutralization of hydrochloric acid by forming sodium chloride and carbon dioxide (1 g of sodium bicarbonate neutralizes 12 mEq of acid). Provides temporary relief of peptic ulcer pain and of discomfort associated with indigestion. Although widely used by the public, sodium bicarbonate is rarely prescribed as an antacid because of its high sodium content, short duration of action, and ability to cause alkalosis (sometimes desired). Is also a systemic and urinary alkalinizer by increasing plasma and urinary bicarbonate, respectively.
Uses: Treatment of hyperacidity, severe diarrhea (where there is loss of bicarbonate). Alkalization of the urine to treat drug toxicity (e.g., due to barbiturates, salicylates, methanol). Treatment of acute mild to moderate metabolic acidosis due to shock, severe dehydration, anoxia, uncontrolled diabetes, renal disease, cardiac arrest, extracorporeal circulation of blood, severe primary lactic acidosis. Prophylaxis of renal calculi in gout. During sulfonamide therapy to prevent renal calculi and nephrotoxicity. Neutralizing additive solution to decrease chemical phlebitis and client discomfort due to vein irritation at or near the site of infusion of IV acid solutions. Investigational: Sickle cell anemia.
Contraindications: Chloride loss due to vomiting or from continuous GI suction. With diuretics known to produce a hypochloremic alkalosis. Metabolic and respiratory alkalosis. Hypocalcemia in which alkalosis may cause tetany. Hypertension, convulsions, CHF, and other situations where administration of sodium can be dangerous. As a systemic alkalinizer when used as a neutralizing additive solution. As an antidote for strong mineral acids because carbon dioxide is formed, which may cause discomfort and even perforation.
Special Concerns: Use with caution in impaired renal function, toxemia of pregnancy, with oliguria or anuria, during lactation, in edema, CHF, liver cirrhosis, with low-salt diets, and in geriatric or postoperative clients with renal or CV insufficiency with or without CHF.
Side Effects: GI: Acid rebound, gastric distention. Milk-alkali syndrome: Hypercalcemia, metabolic alkalosis (dizziness, cramps, thirst, anorexia, N&V, hyperexcitability, tetany, diminished breathing, seizures), renal dysfunction. Miscellaneous: Systemic alkalosis after prolonged use. Following rapid infusion: Hypernatremia, alkalosis, hyperirritability, tetany, fluid or solute overload. Extravasation following IV use may manifest ulceration, sloughing, cellulitis, or tissue necrosis at the site of injection.
Overdose Management: Symptoms: Severe alkalosis that may be accompanied by tetany or hyperirritability. Treatment: Discontinue sodium bicarbonate. Reverse symptoms of alkalosis by rebreathing expired air from a paper bag or using a rebreathing mask. Use an IV infusion of ammonium chloride solution, 2.14%, to control severe cases. Treat hypokalemia by IV sodium chloride or potassium chloride. Calcium gluconate will control tetany.
How Supplied: Granule, effervescent; Injection: 4%, 4.2%, 5%, 7.5%, 8.4%; Powder; Tablet: 325 mg, 520 mg, 648 mg, 650 mg