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Do you prefer sodium bicarbonate or sodium citrate in your chronic kidney disease patients with metabolic acidosis?

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What is your initial therapy preference for chronic kidney disease patients with metabolic acidosis?

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1 Answer
Mednet Member
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Nephrology · Mount Sinai
Answered on

I have always used sodium bicarbonate in this scenario. The easiest/cheapest way to prescribe it is to advise patients to use Arm & Hammer baking soda, which is essentially sodium bicarbonate. I gm of sodium bicarbonate provide 11.9 mEq of bicarbonate; therefore one half of a teaspoon (about 2.5 gm)...

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