• Class: Electrolyte replacement /Alkalizing Agent
• MOA: Counteracts existing acidosis
• Indications: Acidosis, Drug intoxications (barbiturates, salicylates, methyl alcohol)
• Contraindications:  Metabolic alkalosis, hypocalcemia
• Side effects: metabolic alkalosis, hypernatremia, injection site reaction, sodium and fluid retention, peripheral edema.

• Dosing 

Metabolic acidosis during cardiac arrest 

Adult:1 mEq/kg slow IV/IO may repeat at 0.5 mEq/kg in 10 mins

Pedi:SAA