For healthcare professionals. This information does not replace clinical judgement in the individual case; the current summary of product characteristics and the guidelines cited are authoritative.
Medically reviewed: Dr. med. univ. Daniel Pehböck, DESA, 01.11.2026
Sodium bicarbonate (Buffer / alkalinising agent; antidote for sodium-channel-blocking agents) – indications: Cardiac arrest due to hyperkalaemia – adults, Tricyclic antidepressant / sodium channel blocker poisoning – adults, Tricyclic antidepressant / sodium channel blocker poisoning – children, Severe metabolic acidosis (guided by blood gas analysis). Weight-based dosing in mg and ml in the app, with sources.
Indications
- Cardiac arrest due to hyperkalaemia – adults
- Tricyclic antidepressant / sodium channel blocker poisoning – adults
- Tricyclic antidepressant / sodium channel blocker poisoning – children
- Severe metabolic acidosis (guided by blood gas analysis)
Complete in the app
Weight-based doses in mg and ml, preparations, contraindications and notes – in the app, also offline.
Used in
Sources and guidelines
- Lott C et al. European Resuscitation Council Guidelines 2025: Special Circumstances in Resuscitation. Resuscitation 2025;215 Suppl 1:110753.
- Tox Info Suisse. Antidot-Monographie Natriumhydrogenkarbonat.
- ToxInfo (toxinfo.de). Antidote im Detail.
- Summaries of product characteristics of authorised products – product and section for each dose in the app.