DRUG SUPPLIED DOSE COMMENTS
SODIUM CITRATE (Paeds)
(Dicitrate)

Mechanism of action:

Alkalinizing agent


Ref: 1


Last update: 2022-09-12
oral solution:  contains 1 mEq Na+/mL and provides 1 mEq bicarbonate/mL
Urinary Alkalinizer:
Renal tubular acidosis: Distal (Type 1)
0.67-0.75 mEq/kg/dose PO TID-QID.
Renal tubular acidosis: Proximal (Type 2)
3-3.75 mEq/kg/dose PO TID-QID
 


Systemic alkalinization:
Children >=2 years of age: 5-15 mEq/dose after meals and at bedtime
Adults: 10-30 mEq/dose after meals and at bedtime.
More palatable than plain sodium bicarbonate.

Chilling improves palatability; dilute with water or juice before administration.

1 mEq of citrate is equivalent to 1 mEq of HCO3.


Standard Prescription:

sodium citrate __mEq of bicarbonate PO Q__H (__mEq of bicarbonate/kg/day)