bicarbonate therapy

bicarbonate therapy

a procedure to increase a patient's stores of bicarbonate when there are signs of severe acidosis. It is usually performed only in certain cases and as a stopgap measure to neutralize acidosis partially when the patient's blood pH has fallen to levels that may be hazardous to the survival of vital tissues.
References in periodicals archive ?
An unexplained normal anion gap metabolic acidosis and the response to the bicarbonate therapy confirms the diagnosis.
Caution is advised with bicarbonate therapy since hypocalcaemia, hypernatraemia, systemic alkalosis and potential tetany are potential adverse effects.
Several of the key elements to patient management include: 1) During mechanical ventilation, target tidal volume at 6mL/Kg per ideal body weight or less, 2) maximize plateau pressure at 30 cm H20 or less to prevent volume induced lung injury, 3) allow for permissive hypercapnia to achieve the pressure and volume targets, 5) set PEEP to avoid alveolar collapse since alveolar de-recruitment leads to high alveolar opening pressures and lung damage, 6) minimize the use of pulmonary artery catheters due to no evidence based benefit, 6) use bicarbonate therapy if pH is < 7.