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Sodium Bicarbonate dilemma
Hello, I have a few questions about the administration of sodium bicarbonate in patients with metabolic acidosis, such as those with DKA or CKD. We're facing a dilemma regarding when to administer sodium bicarbonate. Should we base our decision on the clinical appearance of the patient or strictly on ABG or VBG results? What is the consensus on the pH level at which sodium bicarbonate should be given? Some sources suggest a pH of 6.9, while others, especially critical care colleagues, recommend administering it at a pH below 7.2. Additionally, some internal medicine colleagues suggest administering sodium bicarbonate based on clinical signs like Kussmaul respirations. Lastly, could you advise on the appropriate dosage of sodium bicarbonate? I apologize for the multitude of questions, and thank you in advance. I'm a big fan of your podcast!
i listened to the methemoglobin lecture .. I was thinking when go from ferrous to ferric state actually loose electrons .
I think when go from ferrous to feric state you actually loose electrons not gain electrons. Not that it matters of course just had flashback to chemistry . Thanks for all you do . It is a great product !