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NaHCO3 pushes not useful in severe metabolic acidosis but, useful in other situations: -Sodium channel blockade effect on the heart like w/ TCA diphenhydramine toxicity (narrows QRS stabilizes patient) -Salicylism: alkalinizes urine increasing toxin excretion -Hyponatremia w/ seizures or significant neurological dysfunction when hypertonic saline not available #emergency #emergencymed #emergencymedicine #resuscitation #criticalcare #ems #prehospital #emergencynurse #emergencynursing #pharmacolog
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