What is the recommended maximum infusion rate for Bicarb?

The recommended maximum infusion rate for bicarbonate (Bicarb) is 50 mEq per hour. This guideline is based on the need to balance the rapid correction of metabolic acidosis with potential side effects, specifically the risk of overcorrection and alkalosis. Administering bicarbonate at a controlled rate helps to ensure that the body's pH levels are adjusted gradually, reducing the likelihood of complications such as hypokalemia or tetany, which can arise from overly rapid infusions.

In clinical practice, maintaining a steady but cautious infusion rate allows healthcare providers to respond to patient needs effectively while minimizing risks associated with electrolyte imbalances. It's vital to monitor the patient's response closely during the administration to ensure they remain within safe physiological parameters.