Another question from a student new to the ICU.
1) I have seen bicarb drips started for pts in respiratory acidosis with a lower than normal pH. Is it only resp acidosis in which this is useful?
2) At what pH would you consider starting a bicarb gtt/pushing bicarb? Just anything below 7.35?
3) Is there a point at which pushing bicarb or starting a drip is a "lost cause"?
4) Any other indications of why you would start a bicarb gtt or push bicarb?
5) Do you essentially keep checking ABGs, and stop the drip when the pH has corrected itself? I was following a new RN who said that you need to recheck the bicarb level to see if it is corrected, but this doesn't make sense...don't you want to check the pH, technically?
Sorry this is kind of a dumb question, but I can't find a lot of info in my text books. :/