Tuesday June 26, 2007
Soda-bicarb to prevent contrast induced nephropathy


Q: How you write the order for soda bicarbonate infusion in preventing contrast induced nephropathy ?

A: Use 154meq/L of sodium bicarbonate (3 amps) in 1 litre of D5W.

Give 3ml/kg/hr one hr prior to the exam.Give 1ml/kg/hr during the exam and for 6 hours after the exam.