PediRounds

Sodium bicarbonate 8.4% — paediatric dose

Weight-based dosing for Sodium bicarbonate 8.4% in children. Category: Resuscitation.

Dose1 mmol/kg (1 mL/kg of 8.4%)
Per kg1 mmol/kg
Maximum50 mmol
Routeslow IV

Clinical notes

Dilute 1:1 in neonates. Ensure ventilation. Not routine in arrest.

Common questions

What is the dose of Sodium bicarbonate 8.4% in children?

1 mmol/kg (1 mL/kg of 8.4%). That is 1 mmol/kg per dose.

What is the maximum Sodium bicarbonate 8.4% dose for a child?

The maximum single dose is 50 mmol. Weight-based calculation should never exceed this ceiling.

How is Sodium bicarbonate 8.4% given?

Sodium bicarbonate 8.4% is given by slow IV.

About this page

Compiled from standard paediatric references. Verify against a current formulary and your local protocol.

Spotted something wrong? Report an error on this page — corrections from clinicians are welcome and are reviewed before any change is published.

Last reviewed 2026-08-12.