Country: United States
Language: English
Source: NLM (National Library of Medicine)
SODIUM BICARBONATE (UNII: 8MDF5V39QO) (BICARBONATE ION - UNII:HN1ZRA3Q20)
Cardinal Health
INTRAVENOUS
PRESCRIPTION DRUG
Neut (4% sodium bicarbonate additive solution) is indicated for use as an additive to raise the pH of acid solutions administered intravenously to reduce the incidence of chemical phlebitis and patient discomfort due to vein irritation at or near the site of infusion. Not for use as a systemic alkalizer. None known.
Neut (4% sodium bicarbonate additive solution) is supplied in partial-fill single-dose containers. 5 mL fliptop vial and is available: Overbagged with 1 x 5 mL single dose vials per bag, NDC 55154-7829-8 Store at 20 to 25°C (68 to 77°F). [See USP Controlled Room Temperature.] Revised: November, 2004 ©Hospira 2004 EN-0545 Printed in USA Repackaged By: Cardinal Health Zanesville, OH 43701 LA67130716
unapproved drug other
NEUT SODIUM BICARBONATE- SODIUM BICARBONATE INJECTION, SOLUTION CARDINAL HEALTH _Disclaimer: This drug has not been found by FDA to be safe and effective, and this labeling has not been_ _approved by FDA. For further information about unapproved drugs, click here._ ---------- NEUT _4% SODIUM BICARBONATE ADDITIVE_ _SOLUTION_ TO ADJUST ACIDIC PARENTERAL SOLUTIONS TO A MORE NEARLY NEUTRAL PH. FLIPTOP VIAL RX ONLY (0.2 G IN 5 ML) DESCRIPTION Neut (4% sodium bicarbonate additive solution) is a sterile, nonpyrogenic solution of sodium bicarbonate in water for injection. It is administered by the intravenous route only after addition as a neutralizing agent to an acidic large volume parenteral solution. Each 5 mL contains sodium bicarbonate 0.2 g (2.4 mEq each of Na and HCO ‾ ); edetate disodium, anhydrous 10 mg added as a stabilizer. Total sodium (Na ) content of each 5 mL is 56.1 mg (11.2 mg/mL). The solutions contain no bacteriostat, antimicrobial agent or added buffer; pH 8.0 (7.0 to 8.5). Sodium Bicarbonate, USP is chemically designated as NaHCO , a white crystalline powder soluble in water. CLINICAL PHARMACOLOGY The acid pH of most intravenous solutions has been implicated as a factor in the production of postinfusion (chemical) phlebitis not caused by obvious infection. Vein irritation, with local redness and tenderness near the site of venipuncture or along the course of a vein, appears to be related to the nature of the substances in the infusion and the speed (insufficient dilution by the bloodstream) as well as the duration (prolonged exposure of the intima) of infusion. Other contributing factors include the size of the vein used for venipuncture, shape or method of insertion of the venipuncture needle, the use or type of indwelling catheter, infection at the infusion site and the age of the patient (children and females seem to be more susceptible). The pH of commonly used dextrose infusion solutions ranges from 3.5 to 6.5. Other commonly used solutions also may have an acid pH. Since non-neutral parenter Read the complete document