What do you know about pushing bicarb?

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Specializes in NICU.

Has anyone noticed patients becoming hypotensive shortly after pushing bicarb? I know that bicarb is supposed to help acidotic patient's utilize pressors better and therefore show an increase in BP after administration... but I seem the notice a drop in the BP immediately after pushing bicarb and then later I will see a steady climb (sometimes).....

Any thoughts?

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Specializes in ICU.

Ive always noticed the opposite, imediately I usually see a rise in BP, then it may slowly trend back down untill more is pushed, usually these are severly acidotic patients

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Ive always noticed the opposite, imediately I usually see a rise in BP, then it may slowly trend back down untill more is pushed, usually these are severly acidotic patients

Yep, this is what I see too. One or two pushes post code are reasonable, anything more you're likely putting off the inevitable.

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