Land: Canada
Språk: engelsk
Kilde: Health Canada
SODIUM BICARBONATE
JAMP PHARMA CORPORATION
B05XA02
SODIUM BICARBONATE
84MG
SOLUTION
SODIUM BICARBONATE 84MG
INTRAVENOUS
15G/50G
Ethical
ALKALINIZING AGENTS
Active ingredient group (AIG) number: 0104153005; AHFS:
APPROVED
2021-05-21
PRESCRIBING INFORMATION SODIUM BICARBONATE INJECTION USP 84 MG / ML (8.4%) ALKALIZER _FOR CORRECTION OF METABOLIC ACIDOSIS AND OTHER CONDITIONS REQUIRING _ _SYSTEMIC ALKALINIZATION_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ JAMP Pharma Corporation 1310 rue Nobel Boucherville, Quebec J4B 5H3, Canada Control Number: 242168 DATE OF REVISION: May 21, 2021 2 PRESCRIBING INFORMATION SODIUM BICARBONATE INJECTION USP 84 MG / ML (8.4%) ALKALIZER _FOR CORRECTION OF METABOLIC ACIDOSIS AND OTHER CONDITIONS REQUIRING _ _SYSTEMIC ALKALINIZATION_ _ _ _ _ _ _ ACTION AND CLINICAL PHARMACOLOGY Intravenous sodium bicarbonate therapy increases plasma bicarbonate, buffers excess hydrogen ion concentration, raises blood pH and reverses the clinical manifestations of acidosis. Sodium bicarbonate in water dissociates to provide sodium (Na + ) and bicarbonate (HCO 3 - ) ions. Sodium (Na + ) is the principal cation of extracellular fluid and plays a large part in the therapy of fluid and electrolyte disturbances. Bicarbonate (HCO 3 - ) is a normal constituent of body fluids and the normal plasma level ranges from 24 to 31 mmol (mEq)/liter. Plasma concentration is regulated by the kidney through acidification of the urine when there is a deficit or by alkalinization of the urine when there is an excess. Bicarbonate anion is considered “ labile" since at a proper concentration of hydrogen ion (H + ) it may be converted to carbonic acid (H 2 CO 3 ) and thence to its volatile form, carbon dioxide (CO 2 ) excreted by the lung. Normally a ratio of 1:20 (carbonic acid: bicarbonate) is present in the extracellular fluid. In a healthy adult with normal kidney function, practically all the glomerular filtered bicarbonate ion is reabsorbed: less than 1% is excreted in the urine. 3 INDICATIONS AND CLINICAL USE Sodium Bicarbonate Injection USP is indicated in the treatment of metabolic acidosis which may occur in severe renal disease, uncontrolled diabetes, circulatory insufficiency due to shock or severe dehydration, extracorp Les hele dokumentet