Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Oncology Nursing /

sodium bicarb infusion



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,247 members! Join today to network with other nurses, laugh, share, and much more.

Mar 26, 2009 07:27 AM

sodium bicarb infusion

by susieok

hi... just wanting to clarify the administration recommendations for IV sodium bicarbonate in regards to patients with high dose Methotrexate protocol.

on the previous oncology ward i worked on, we always administered sodi-bic 100ml 8.4% bottles over 1hr undiluted if they had a CVAD and diluted in 500-1000mls over at least 4hrs if going through an IVC due to the risk of tissue damage.

i'm now working in the oncology day unit(chemo unit) and recently a woman came down from the gynae ward to have high dose methrotrexate for diagnosis of GTD. her urine pH was only 5. the doctor ordered her to have 100ml bottle of sodi-bic 8.4%. the day unit had been infusing these over 1/2hr undiluted into people with IVC's. i questioned this practice with the pharmacist who stated it had to be over 4-8 hrs. back on the floor the nurse mgr told the other nurse just to hang it over an hr undiluted until her urine pH rose above 7. the first bottle didnt, so the doctor ordered a second bottle, and the nurse infused half of that until her pH rose. i refused to do any of the checking as i didnt agree with this, but the manager decided her decision was correct.

i'm after any information from oncology nurses who can tell me how they administer this drug in their unit. i have googled this and found that a rapid infusion via IVC is only recommended in cardiac arrest situations... but ineterstered to see if i'm correct or whether infact other onoclogy units are infusing this drug rapidly. thanks!


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Reply



« Case

Thread Tools


Who's Online
98 members
1,396 guests
1,494

0

Possible breakthrough regarding MS

29

16th Philly area hospital to stop delivering babies: Mercy...

7

Really interesting article on Indian open hearts

4

High-Tech Pump Does What Her Heart Can't

2

Air Force RN Force RN Found Not Guilty

12

Hospital Falters as Refuge for Illegal Immigrants

6

California Imposes Stricter Rules Regarding Drug Abuse In...

38

Are older nurses being forced out of the profession?

3

An outlook in California?

8

Australian surgeons successfully separate conjoined twins






Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: