sodium-bicarbonate and Pneumonia--Viral

In a patient with viral pneumonia, acute respiratory and renal failure and metabolic acidosis, a reduction in left ventricular stroke work was observed on the three occasions that 100 ml of 8.4% sodium bicarbonate was infused. Blood pressure and cardiac output decreased on two of the occasions. Since intravenous sodium bicarbonate may produce adverse cardiovascular effects, a right heart catheter should be inserted to monitor these effects when alkali therapy is administered to an acutely ill patient with metabolic acidosis.

Topics: Acidosis; Acute Kidney Injury; Aged; Bicarbonates; Heart Failure; Hemodynamics; Humans; Male; Pneumonia, Viral; Sodium; Sodium Bicarbonate