Sodium Chloride

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Drug NaHCO3 650mg 2 tablets TID

Action Drug classification: antiulcer agents, alkanizing agent Mechanism of action: sodium bicarbonate acts as an alkanizing agent by releasing bicarbonate ions. Following oral administration of this medication, it releases bicarbonate which is capable of neutralizing gastric acid

Indication / Contraindication Indication: Contraindications: -metabolic/ respiratory alkalosis -hypocalcemia -excessive chloride loss -renal failure

Adverse Effects Metabolic alkalosis, mood changes, tiredness, shortness of breath, muscle weakness, irregular heartbeat, muscle hypertonicity, twitching, tetany, hypernatremia, hyperosmolality, hypocalcemia, hypokalemia, stomach cramps, flatulence

NSG.Responsibilities >assess clients fluid balance throughout the therapy: intake and output, edema and lung sounds >symptoms of fluid overload should be reported (hypertension, edema, DOB) >tablets must be taken with full glass of water >hyperntremia manifestations should be assessed and monitored (edema, hypertension, tachycardia, fever, flushed skin and mental irritability >hypokalemia should also be assessed by monitoring signs and symptoms (weakness, fatigue, U wave on ECG arrhythmias, polyuria and polydipsia

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