What is one of the adverse effects of Sodium Bicarbonate?

Sodium Bicarbonate, used primarily to treat metabolic acidosis, can lead to metabolic alkalosis as an adverse effect. This condition occurs when there is an excessive base in the body, which can happen when Sodium Bicarbonate is administered, particularly if it is given in large doses or administered too rapidly. When this bicarbonate-level rises significantly, it can disrupt the acid-base balance, leading to symptoms such as muscle twitching, hand tremors, and nausea.

Understanding the mechanism behind Sodium Bicarbonate's action helps to appreciate why metabolic alkalosis can occur. When the bicarbonate ion is introduced into the bloodstream, it buffers excess hydrogen ions, consequently increasing the blood's pH level and pushing the body toward a more alkaline state. Thus, monitoring for signs of metabolic alkalosis is crucial whenever Sodium Bicarbonate is administered.

In contrast, the other options are not typically associated with Sodium Bicarbonate use. Hyperkalemia relates to high potassium levels, hypotension refers to low blood pressure, and thrombocytopenia indicates a low platelet count, none of which are direct adverse effects of Sodium Bicarbonate.