In trial A, we have Amp Human vs oral sodium bicarb. Blood pH and bicarb were elevated in the oral bicarb group, which you would hope would be
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The PROBLEM with the order set we use is that it's an ampule of 8.4% of Sodium bicarbonate when in reality, we should be giving ISOTONIC bicarb
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Don't give bicarb if you can't increase ventilation. But how much CO2 is there in an amp of sodium bicarbonate? A bicarb 1/
to raise the pH. Don't give bicarb if you can't increase ventilation. But how much CO2 is there in an amp of sodium bicarbonate? A bicarb 1/
Hypertonic bicarb is hypertonic bicarb. Running it slowly will avoid rapid shifts in sodium or pCO2 levels, which is good, but at the same time it won t provide a ton of bicarb (e.g. you ll be giving the equivalent of an ampule ever 2.5-5 hours).
And for your comment about the odds. I give you FANTASY! It doesn't need to be believable. If it did 99% of all fiction would disappear off the shelves.