Acidic component [HCO3 Hemodialysis Solution]
Generic Details
Generic Name
Acidic Component HCO3 Hemodialysis Solution
Other Names
- Bicarbonate Hemodialysis Solution
Drug Class
- Dialysis Solution
Chemical Formula
HCO3-
Molecular Weight
61.0168 g/mol
Mechanism of Action
- Corrects metabolic acidosis during hemodialysis by buffering excess hydrogen ions.
Indications
- Treatment of metabolic acidosis during hemodialysis.
Common Dosage Forms
- Solution for intravenous infusion
Typical Dosage
- Individualized based on patient's condition and acid-base status
Pediatric Dosage
- Dosage adjustments may be needed based on weight and age
Geriatric Dosage
- May require lower doses or longer intervals between doses in elderly patients
Side Effects
- Hypokalemia
- Hypoventilation
- Metabolic alkalosis
Contraindications
- Hypokalemia
- Alkalosis
- Hypocalcemia
- Fluid overload
Pregnancy Category
- C - Safety in pregnancy has not been established
Lactation Safety
- Not recommended for use in breastfeeding mothers
Drug Interactions
- Potassium-sparing diuretics may increase the risk of hyperkalemia
Overdose Symptoms
- Severe metabolic alkalosis
- Hypokalemia
Antidote for Overdose
- Administer potassium supplementation cautiously under medical supervision
Storage Conditions
- Store at controlled room temperature (20-25°C)
Pharmacokinetics
- Absorption: Administered intravenously and rapidly equilibrates in the extracellular fluid compartment.
- Distribution: Distribution volume depends on patient's fluid status.
- Metabolism: Bicarbonate is metabolized in the liver.
- Excretion: Excreted in the urine.
Precautions
- Monitor electrolyte levels regularly during therapy.
Warnings
- Not for direct intravenous injection without appropriate dilution.
Others
- Close monitoring of acid-base status is essential during hemodialysis.