Drug Guideline Title: Sodium Bicarbonate

Cardiotoxicity: QRS widening in SSRI Overdose • Observed with massive ingestions • Sodium bicarbonate 1-2 mEq/kg bolus • Bolus until narrowing observed • Follow with maintenance infusion 150 mEq/L • Sodium load and elevated pH displace drug from sodium channels • ADE: Extravasation, alkalosis, hypernatremia, edema, heart failure ... ................
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