Nursing Tutor

SODIUM BICARBONATE⁣
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1️⃣ What is it?⁣
An alkalinizing agent that raises blood pH and reverses the clinical manifestations of acidosis (fatigue, confusion, SOB, headache, rapid/shallow breathing, tachycardia)⁣
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2️⃣ How does it work?⁣
Bicarb (has an alkaline pH of 8.2) reacts with H+ ions to form water and CO2. It will act as a buffer against acidosis by raising blood pH⁣
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3️⃣ Pharmacokinetics:⁣
Onset - 15 mins (IV)⁣
Duration - 1-2 hrs (IV)⁣
Excretion - urine⁣
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4️⃣ Administration during cardiac arrest:⁣
IV push in a dose of 50ml, D5W solution⁣
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5️⃣ When is it given?⁣
Cardiac arrest (Metabolic acidosis occurs during cardiac arrest due to a buildup of the acid waste materials in the body)⁣
Hyperkalemia⁣
Metabolic acidosis⁣
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6️⃣ Adverse effects:⁣
• edema⁣
• hypernatremia, hypocalcemia, hypokalemia⁣
• metabolic alkalosis⁣
• pulmonary edema⁣
• intracranial acidosis⁣
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FYI☝🏼 ⁣
1. This is not a first line med for resuscitation⁣
2. Use cautiously in pts with sodium retention, hx of CHF, renal impairment, cirrhosis, and HTN⁣
3. Category C for pregnancy - not known if the medication is excreted in breast milk

CIRRHOSIS NURSING CARE

PATIENT MOBILITY

PRESSURE ULCERS

Brain Herniation

APGAR SCORE
Apgar stands for "Appearance, Pulse, Grimace, Activity, and Respiration."

In the test, five things are used to check a baby's health. Each is scored on a scale of 0 to 2, with 2 being the best score:

Appearance (skin color)
Pulse (heart rate)
Grimace response (reflexes)
Activity (muscle tone)
Respiration (breathing rate and effort)

PEDIATRIC VITAL SIGNS

Newborn Assessment

FETAL CIRCULATION

Pediatric Burn Chart

DRUG CLASSES BY TARGET BODY SYSTEM