Youtor
Is bicarb bad
YOUR LINK HERE:
http://youtube.com/watch?v=8la6KjR40T4
⚠️ The Hidden Dangers of Routine Bicarbonate Pushes • Beyond intracellular acidosis, here’s why we should think twice: • 1️⃣ Paradoxical intracellular acidosis • Rapid ↑ serum pH → ↑ CO2 → intracellular acidification • 2️⃣ Electrolyte imbalances • Sudden ↓ potassium → cardiac arrhythmias • ↑ sodium → fluid overload risk • 3️⃣ Impaired oxygen delivery • Left-shift of oxyhemoglobin curve → ↓ tissue oxygenation • 4️⃣ Diminished catecholamine effectiveness • ↓ response to vasopressors and inotropes • 5️⃣ Potential overcorrection • Risk of post-treatment alkalosis • 6️⃣ Volume overload • Especially concerning in heart kidney failure patients • Remember: Treat the underlying cause, not just the numbers! Careful consideration before routine bicarb use is crucial. • #MedEd #CriticalCare #PatientSafety” #EmergencyMedicine #Acidosis #Nephrology #AcidbaseDisorders #acidbase
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