How giving bicarb can cause intracellular acidosis! Giving sodium bicarbonate in severe acidosis might improve pH on labs but what’s happening inside the cell?? Send this to someone who likes to give bicarb without thinking twice 🤔 . Check out the ICU STARTER BUNDLE and the other Nurse Dose Cheat Sheets/Resources in the bio! . Follow for more ICU nursing education! 🎓 . #cvicu #cardiacnurse #criticalcare #nursingschool #icunurse #newgradnurse #newgradrn #nursesofinstagram #icunurselife #flightn
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💧Acid Base Imbalance Series: Metabolic Acidosis 🔴 follow @nursewellversed for visual nursing education 🌈 ⭐️Key things to remember: Bicarb is Basic so ⬇️ bicarb= ⬆️ acid Metabolic acidosis = ⬇️bicarb and ⬇️ pH ❓What causes it? Anything that causes… ☞ Increased acid production (Ex. Sepsis and DKA) ☞ Decreased acid excretion (Ex.renal failure) ☞ Increased bicarb loss (remember bicarb comes out of your BASE!) ❓What are the symptoms? ☞ Kussmaul’s respirations (deep rapid breathing to blow off CO2)
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Mahmoud Ibrahim MD | ICU Education on Instagram: "#10 what’s up with Bicarb? If it’s DKA treat the DKA. If it’s ischemic gut, call the surgeon. But in general severe kidney failure with severe metabolic acidosis, I’m giving isotonic bicarb while I figure out what’s going on and in an attempt to not progress to renal replacement therapy (dialysis). 💭What’s your take? Follow for ICU talks—explained like your best friend would (who just happens to be an intensivist) #criticalcare #icu #meded"
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