SODIUM BICARBONATE INJECTION USP (sodium bicarbonate injection USP) Warnings

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Canada
 

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Solutions containing sodium ions should be used with great care, if at all, in patients with congestive heart failure, severe renal insufficiency and in clinical states in which there exists edema with sodium retention.

In patients with diminished renal function, administration of solutions containing sodium ions may result in sodium retention.

The intravenous administration of these solutions can cause fluid and/or solute overloading resulting in dilution of serum electrolyte concentrations, overhydration, congested states or pulmonary edema.

The risk of dilutional states is inversely proportional to the electrolyte concentrations of administered parenteral solutions. The risk of solute overload causing congested states with peripheral and pulmonary edema is directly proportional to the electrolyte concentrations of such solutions.

Additives may be incompatible.  Consult with pharmacist if available. When introducing additives, use aseptic technique, mix thoroughly and do not store.

Extravascular infiltration should be avoided (see ADVERSE REACTIONS).