The Effects of Sodium Bicarbonate on Acid-Base Imbalances

Balancing the pH: Mechanistic Insights and Clinical Impact

Authors

  • Isha Popat Canyon Crest Academy

DOI:

https://doi.org/10.47611/jsrhs.v13i4.8253

Keywords:

Metabolic Acidosis, Lactic Acidosis, Severe Hyperkalemia, Sodium Bicarbonate, Cardiac Arrest, Serum Bicarbonate

Abstract

Increasing levels of bicarbonate in human blood influence the buffering capacity, thereby stabilizing blood pH levels and improving overall acid-base homeostasis. About fifteen percent of individuals worldwide suffer from chronic kidney disease (CKD), in which the kidney loses its ability to soak up the excess acid circulating throughout the human body [1]. Metabolic acidosis is the term given when an individual's body system carries an excess amount of acid, which puts the individual at risk for cardiovascular diseases, respiratory diseases, and many more. This literary review aims to answer the problem presented by excess acid or base in the bloodstream through an increase in the blood buffer capacity. Although sodium bicarbonate is not a viable option in every situation, it can surely be used to treat and alleviate aggregations in certain contexts. Sodium bicarbonate provides the means by which the blood system can remain at homeostasis throughout different conditions, but this homeostasis is often short-lived. 



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References or Bibliography

Kidney Disease: The Basics. (2021, April 8). National Kidney Foundation. https://www.kidney.org/news/newsroom/fsindex#:~:text=Kidney%20disease%20affects%20an%20estimated

Hultin S, Hood C, Campbell KL, Toussaint ND, Johnson DW, Badve SV. A Systematic Review and Meta-Analysis on Effects of Bicarbonate Therapy on Kidney Outcomes. Kidney Int Rep. 2020 Dec 31;6(3):695-705. doi: 10.1016/j.ekir.2020.12.019. PMID: 33732984; PMCID: PMC7938083.

Tangri N, Ferguson TW, Reaven NL, Lai J, Funk SE, Mathur V. Increasing Serum Bicarbonate is Associated With Reduced Risk of Adverse Kidney Outcomes in Patients with CKD and Metabolic Acidosis. Kidney Int Rep. 2023 Feb 1;8(4):796-804. doi: 10.1016/j.ekir.2023.01.029. PMID: 37069991; PMCID: PMC10105060.

Adeva-Andany MM, Fernández-Fernández C, Mouriño-Bayolo D, Castro-Quintela E, Domínguez-Montero A. Sodium bicarbonate therapy in patients with metabolic acidosis. ScientificWorldJournal. 2014;2014:627673. doi: 10.1155/2014/627673. Epub 2014 Oct 21. PMID: 25405229; PMCID: PMC4227445.

Wikipedia contributors. (2023, December 14). Isozyme. Wikipedia. https://en.wikipedia.org/wiki/Isozyme

Occhipinti R, Boron WF. Role of Carbonic Anhydrases and Inhibitors in Acid-Base Physiology: Insights from Mathematical Modeling. Int J Mol Sci. 2019 Aug 6;20(15):3841. doi: 10.3390/ijms20153841. PMID: 31390837; PMCID: PMC6695913.

Abuelo JG. Treatment of Severe Hyperkalemia: Confronting 4 Fallacies. Kidney Int Rep. 2017 Oct 7;3(1):47-55. doi: 10.1016/j.ekir.2017.10.001. PMID: 29340313; PMCID: PMC5762976.

Simon LV, Hashmi MF, Farrell MW. Hyperkalemia. [Updated 2023 Sep 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470284/

Velissaris D, Karamouzos V, Pierrakos C, Koniari I, Apostolopoulou C, Karanikolas M. Use of Sodium Bicarbonate in Cardiac Arrest: Current Guidelines and Literature Review. J Clin Med Res. 2016 Apr;8(4):277-83. doi: 10.14740/jocmr2456w. Epub 2016 Feb 27. PMID: 26985247; PMCID: PMC4780490.

Senewiratne NL, Woodall A, Can AS. Sodium Bicarbonate. [Updated 2024 Feb 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559139/

]Healthline Media. (n.d.). Sodium bicarbonate for kidney disease: Benefits and more. Healthline. https://www.healthline.com/health/sodium-bicarbonate-kidney-disease

Rudnick MR, Blair GJ, Kuschner WG, Barr J. Lactic Acidosis and the Role of Sodium Bicarbonate: A Narrative Opinion. Shock. 2020 May;53(5):528-536. doi: 10.1097/SHK.0000000000001415. PMID: 31318832.​​

Mustaqeem R, Arif A. Renal Tubular Acidosis. [Updated 2023 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519044/

Published

11-30-2024

How to Cite

Popat, I. (2024). The Effects of Sodium Bicarbonate on Acid-Base Imbalances : Balancing the pH: Mechanistic Insights and Clinical Impact. Journal of Student Research, 13(4). https://doi.org/10.47611/jsrhs.v13i4.8253

Issue

Section

HS Review Articles