Specialist initiation (S1)
- Chronic acidotic states
- Hyperchloraemic acidosis
Prescribing Notes:
- Sodium bicarbonate is used for chronic acidotic states such as uraemic acidosis or renal tubular acidosis. It should be avoided in respiratory acidosis. The response is unpredictable and must be assessed.
- Potassium bicarbonate is used for hyperchloraemic acidosis associated with K+ deficiency, e.g. renal tubular and gastro–intestinal disorders.