BSS plus - General Information
A white, crystalline powder that is commonly used as a pH buffering agent, an electrolyte replenisher, systemic alkalizer and in topical cleansing solutions.
Pharmacology of BSS plus
Intravenous sodium bicarbonate therapy increases plasma bicarbonate, buffers excess hydrogen ion concentration, raises blood pH and reverses the clinical manifestations of acidosis.
BSS plus for patients
BSS plus Interactions
Additives may be incompatible; norepinephrine and dobutamine are incompatible with sodium bicarbonate solution.
The addition of sodium bicarbonate to parenteral solutions containing calcium should be avoided, except where compatibility has been previously established. Precipitation or haze may result from sodium bicarbonate-calcium admixtures.
NOTE: Do not use the injection if it contains precipitate. Additives may be incompatible. Consult with pharmacist, if available. When introducing additives, use aseptic technique, mix thoroughly and do not store.
BSS plus Contraindications
Sodium Bicarbonate Injection, USP is contraindicated in patients who are losing chloride by vomiting or from continuous gastrointestinal suction, and in patients receiving diuretics known to produce a hypochloremic alkalosis.
Additional information about BSS plus
BSS plus Indication: For the treatment of metabolic acidosis which may occur in severe renal disease, uncontrolled diabetes, circulatory insufficiency due to shock or severe dehydration, extracorporeal circulation of blood, cardiac arrest and severe primary lactic acidosis. Also is indicated in severe diarrhea which is often accompanied by a significant loss of bicarbonate. Further indicated in the treatment of certain drug intoxications, including barbiturates (where dissociation of the barbiturateprotein complex is desired), in poisoning by salicylates or methyl alcohol and in hemolytic reactions requiring alkalinization of the urine to diminish nephrotoxicity of blood pigments.
Mechanism Of Action: Alkalizer, systemic—Increases the plasma bicarbonate, buffers excess hydrogen ion concentration, and raises blood pH, thereby reversing the clinical manifestations of acidosis. Alkalizer, urinary—Increases the excretion of free bicarbonate ions in the urine, thus effectively raising the urinary pH. By maintaining an alkaline urine, the actual dissolution of uric acid stones may be accomplished. Antacid—Reacts chemically to neutralize or buffer existing quantities of stomach acid but has no direct effect on its output. This action results in increased pH value of stomach contents, thus providing relief of hyperacidity symptoms. [PharmGKB]
Drug Interactions: Not Available
Food Interactions: Not Available
Generic Name: Sodium bicarbonate
Synonyms: Sodium hydrocarbonate; Sodium hydrogen carbonate; Sodium hydrogencarbonate; Sodium acid carbonate; Carbonic acid monosodium salt; Bicarbonate of soda
Drug Category: Antidiarrheals
Drug Type: Small Molecule; Approved
Other Brand Names containing Sodium bicarbonate: Natrum bicarbonicum; Gripe water; Hema BP-38; Colovage; Colyte; E-Z-EM Prep Lyte; Elliotts B solution; Endosol extra; Glycoprep; Go-evac; Golytely; Co-lav; Citrocarbonate; Baros; BSS plus; 800 Sodium Bicarbonate Powder; Acidosan; Neut; Nulytely; OCL; Peg-lyte; Sandoz sodium bicarbonate; Sodium bicarbonate in plastic container; Sodium bicarbonate liquid concentrate; Meylon;
Absorption: Not Available
Toxicity (Overdose): Not Available
Protein Binding: Not Available
Biotransformation: Not Available
Half Life: Not Available
Dosage Forms of BSS plus: Solution / drops Oral
Chemical IUPAC Name: sodium hydrogen carbonate
Chemical Formula: CHNaO3
Sodium bicarbonate on Wikipedia: http://en.wikipedia.org/wiki/Sodium_bicarbonate
Organisms Affected: Humans and other mammals