8 0 obj <> Synopsis: Investigators randomized 389 adult patients with severe acidemia and Sequential Organ Failure Assessment (SOFA) scores of 4 or greater or serum lactate level of 2 mmol/L or greater to receive either no sodium bicarbonate or 4.2% intravenous sodium bicarbonate.The primary composite outcome was at least organ failure at day 7 or mortality by day 28. stream /Group <> In addition to describing the status of people whose kidneys are so diseased they can no longer sustain life, it also describes the status of people whose kidneys are significantly impaired, but who do not yet need dialysis or a transplant. endobj Acidic blood is called acidemia. Baking soda (sodium bicarbonate) is a natural substance with a variety of uses.It has an alkalizing effect, which means it reduces acidity. What Medicines Cause High Potassium Levels? Can someone explain what occurs upon activation of the Dialysis bag? 2016, Vol6.No3,157-165 favism presentation were assessed in this clinical trial study. x�mO� endobj Glomerular filtration rate and renal plasma flow decreased to 21 and 37% of control values, respectively. // Leaf Group Lifestyle. 4 0 obj While we'll never know what the author, Charles Dickens, intended in his writing of Tiny Tim's illness, this speculation underscores the importance of sodium bicarbonate in the treatment of kidney disease. We all have a bag of it in our homes, using it for different purposes. Patricia Kritek, MD reviewing Jaber S et al. /Contents 10 0 R>> Decreased renal perfusion due to hypovolaemia secondary to the precipitating cause, activation of the renin-angiotensin-aldosterone axis, and renal vasoconstriction secondary to myoglobin. Shelly Morgan has been writing and editing for over 25 years for various medical and scientific publications. x�mOI�0��s�CM�6qD,����sD�RA-�����,�,[3�-��dU��h 98#Ơ�������ϑύG��x�=����AKO'}��?���5^�2�uSBQ$�xDm���7 |᛹��q;�HA��Tm��*�;cS�u��eǭ����YѮ�9C�.��.�2�yZZsEb�)���� ބξ~P�Wn-�O 11 0 obj Intravenous sodium bicarbonate (1 mEq/kg), with up to 50% of this dose repeated every 10 to 15 minutes during the course of CPR, is recommended for patients with known or suspected preexisting bicarbonate-responsive causes of acidosis, for certain drug overdoses (Chapter 110), and after prolonged and unsuccessful attempts at resuscitation. The author further speculates that his miraculous recovery was brought about by treatment with sodium bicarbonate. Comparison of cancer tissue with healthy tissue from the same person shows that the cancer tissue has a much higher concentration of toxic chemicals, pesticides, etc. It is estimated that one-third of the patients with stage 4 CKD suffer from MA.1,2 Several studies have shown that kidney transplant recipients are especially prone to develop MA. /Contents 14 0 R>> <> Patients were 58 (73.4%) males and 21 (26.60 %) females with the average age of 51.22 ± 37.86 months. Because bicarbonate is not secreted by the tubule, the rate of renal bicarbonate excretion is ultimately determined by the balance between its rate of glomerular filtration and tubular resorption. endobj The high pH of this solution is why it is used to treat heartburn caused by acid stomach. CAS Number: 144-55-8 . The high pH of this solution is why it is used to treat heartburn caused by acid stomach. endstream stream endobj Review: April 2018 Sodium Bicarbonate Presentation: Injection 4.2% (0.5 mmol/mL); 10mL vial and 500mL Polyfusor. The National Kidney Foundation recommends monthly monitoring so that serum bicarbonate levels can be kept at 22 mmol/L. In addition to describing the status of people whose kidneys are so diseased they can no longer sustain life, it also describes the status of people whose kidneys are significantly impaired, but w… Renal failure is also known as kidney failure. Sodium bicarbonate, also called "bicarb," is the same thing as baking soda. Sodium bicarbonate (NaHCO 3) is used in the treatment of a wide variety of metabolic acidoses, including renal tubular acidosis, and such treatment has been the topic of many textbooks of nephrology and reviews. FIRST AID MEASURES Eye contact: Irrigate with flowing water immediately and continuously for 15 minutes. Several large obs… We did not find any randomised controlled trials (RCTs) that assessed the benefits or harms of giving sodium bicarbonate to people with acute kidney problems. At Healthfully, we strive to deliver objective content that is accurate and up-to-date. 2: Severe renal hyperkalaemia 3: Cardiac Arrest- see … Sodium bicarbonate is a white solid that is crystalline, but often appears as a fine powder. When dissolved in water, the sodium atom dissociates from the bicarbonate moiety, producing a slightly basic solution. Indications: 1: Severe metabolic acidosis, where perfusion has been optimised. 2C). 6 0 obj Sodium bicarbonate supplementation increased plasma bicarbonate (20.8 to 23.8 mmol/l) and reduced urinary ammonium excretion (15 to 8 mmol/day, both P < 0.05). What Are the Causes of Kidneys Leaking Protein? �0��+樇�I�j�(U�x��L�m�U�o|�Ȳ�23;�+�x��jo��qpF�Am0T� 8jWs�c�[�r'q�{4�OY���MC�����k�1e�!�� ��u#�ŝ����������!R�$(�Vl�bo�I 6�= ˏ;KUu!����>C�>�0Y,l�Uj��2��D]^!z�� ��" ?�� ,�O Urine alkalinization is easily feasible in the ICU setting and is often considered to be associated with few side effects. (1mmol of sodium bicarbonate is equivalent to 1mmol sodium and 1mmol bicarbonate). National Institute of Diabetes and Digestive and Kidney Diseases; Renal Tubular Acidosis; October 2008, "American Journal of Diseases of Children"; What was Wrong with Tiny Tim? Citing Literature . why dialysis bad should be heated with 10 mM sodium bicarbonate 10 mM Na2EDTA, pH 8.0 to activate it? endobj Sodium bicarbonate is a salt that breaks down in fluids, including blood and urine, to form sodium and bicarbonate. Ancient Egyptians used it for hieroglyph paint, while other ancient civilizations used it in other ways. A perioperative infusion of sodium bicarbonate does not improve renal function in cardiac surgery patients: a prospective observational cohort study. Sodium bicarbonate, also called "bicarb," is the same thing as baking soda. Renal failure is also known as kidney failure. Sodium bicarbonate is the alkaline solution normally used. Myoglobin reacts with Tamm-Horsfell protiens (THP) and precipitates … Metabolic acidosis is one of the many complex changes associated with the development of chronic kidney disease (CKD) [1, 2]. In those, the prevalence of MA reaches from 15% in CKD stage 2 to 70% in stage 4.3–7These differences are due to additional causal factors like the immunosuppressive medication in the renal transplant setting. endstream Sodium bicarbonate (IUPAC name: sodium hydrogen carbonate), commonly known as baking soda or bicarbonate of soda, is a chemical compound with the formula NaHCO 3. /Group <> By Dr. Michael Smith , MD, Radiology and Internal Medicine. <>>>] This breakdown buffers the blood and makes it less acidic. x�mOI�0��s�CM�.D��8�D���T�@��=a)�TY�����H. Renal tubular acidosis is caused by many disorders, including Addison's disease, sickle cell anemia, hyperparathyroidism, hyperthyroidism, Fanconi syndrome, hepatitis, AIDS, cirrhosis, analgesic nephropathy and many other conditions.cause: Administration of sodium bicarbonate is an important part of treating these conditions because it prevents renal tubular acidosis from causing renal failure. endobj A perioperative infusion of sodium bicarbonate did not reduce the rate of acute kidney injury or adverse outcomes in patients with chronic kidney disease who underwent cardiac surgery. /Contents 8 0 R>> Sodium bicarbonate or baking soda as we know it is a chemical compound in the form of white crystalline powder. Number of times cited according to CrossRef: 17. Injection 8.4% (1 mmol/mL); 10mL vial and 500mL Polyfusor. Copyright © 2021 Leaf Group Ltd., all rights reserved. endobj Sodium Bicarbonate and Chronic Kidney Disease . 9 0 obj /Contents 4 0 R>> Sodium Bicarbonate Injection, USP is indicated in the treatment of metabolic acidosis which may occur in severe renal disease, uncontrolled diabetes, circulatory insufficiency due to shock or severe dehydration, extracorporeal circulation of blood, cardiac arrest and severe primary lactic acidosis. 1) Bicarbonate Supplementation Slows Progression of CKD and Improves Nutritional Status 2) Nutritional supplementation to prevent and slow the progression of chronic kidney disease: focus on bicarb… 5 0 obj Sodium bicarbonate; Baking soda; Bicarbonate of soda; Sodium acid carbonate; Carbonic acid, monosodium salt. Maintaining a healthy the acid-base balance helps patients keep their weight up, which is important given that this population is vulnerable to muscle wasting. Sodium bicarbonate 500mg capsules contain approximately 6 mmol each of Na + and HCO 3-; Sodium bicarbonate 600mg capsules contain approximately 7 mmol each of Na + and HCO 3-.. Bicarbonate reabsorption in chronic renal failure. The pH of healthy people remains within a very narrow range. Consult a physician if necessary. endstream endobj endstream 10 0 obj Multivariate analysis of the two factors (sodium bicarbonate and fhb after finishing CPB) demonstrated that receiving sodium bicarbonate has not only a significant but also an independent effect on the prevention of AKI. Metabolic acidosis has been associated with the progression of CKD. What is Sodium Bicarbonate? stream Our team periodically reviews articles in order to ensure content quality. Intravenous sodium bicarbonate, also known as sodium hydrogen carbonate, is a medication primarily used to treat severe metabolic acidosis. <>>>] <> 13 0 obj Maintaining a healthy the acid-base balance helps patients keep their weight up, which is important given that this population is vulnerable to muscle wasting. x�mO� It is a salt composed of a sodium cation (Na +) and a bicarbonate anion (HCO 3 −). 2,3 Sodium bicarbonate supplementation is recommended for CKD patients whose bicarbonate lab levels are less than 22 mmol/L. %PDF-1.4 /Group <> The National Kidney Foundation recommends monthly monitoring so that serum bicarbonate levels can be kept at 22 mmol/L. Concentration (% by Weight): 100% . Lancet 2018 Jul 7 Kraut JA and Madias NE. /Group <> In another series of experiments, NIH 3T3 cells received a sequential pulses of sodium propionate and 1 min later a pulse of sodium bicarbonate to reach an extracellular bicarbonate concentration of 44 mM (Fig. <> Lancet 2018 Jul 7. The pH of patients with kidney disease tends to become more acidic. endobj Metabolic acidosis (MA) is a common problem of patients with advanced chronic kidney disease (CKD). �@��+�Q���:x,\N]�v�U���$���^^�$`wP=�֐�3bz��N`H�Q�����x�{�ݣn����t"�w��3��^�)CX75!��Kj�~�?�q�'����#� 1) conserving or excreting the HC0 3 - present in the glomerular ultrafiltrate; 2) producing new HCO 3-which enters the body fluids as the kidneys excrete ammonium salts and titratable acids (this sum is called net acid) in the urine Renal Conservation of HCO 3-. Sodium bicarbonate possesses the property of absorbing heavy metals, dioxins and furans. The sources cited below consist of evidence from peer-reviewed journals, prominent medical organizations, academic associations, and government data. Nephrologists treat acidemia by prescribing sodium bicarbonate, which can be taken orally or added to the dialysis solutions. stream Prognosis improves when metabolic acidosis in patients with kidney disease is treated with sodium bicarbonate, new data show, and therapy does not add to fluid overload or uncontrolled blood pressure. 14 0 obj It is also used to alkalize urine in patients with cystitis to provide symptomatic relief and prevent the formation of uric acid stones in the kidney. It turns out that eating fruits and vegetables may be a safer option and is beneficial for people with chronic kidney disease. <>>>] /Contents 6 0 R>> Decreasing kidney function causes progressively increased retention of acids, resulting in numerous deleterious consequences, such as protein catabolism and protein-energy wasting [3–18], worsening uremic bone disease [19–22] and an association with decreased functional capacity [23] and with increased mortality in patients with end-stage renal disease (ESRD) [24–26] and with non-… 1,2 Sodium bicarbonate, a base, helps to neutralize and decrease the blood acid levels. The absence of sodium bicarbonate contributed to AKI, with an odds ratio of 1.57 (95% CI 1.0009, 4.4494) (Table 5). Renal tubular acidosis is caused by many disorders. Although she began her professional career in pharmacological research, Morgan turned to patent law where she specialized in prosecuting patents for medical devices. The pH of healthy people remains within a very narrow range. The kidneys regulate the [HC03-] by. stream The rationale of urine alkalinization through intravenous sodium bicarbonate to prevent cardiac surgery-associated acute kidney injury relies on several pathophysiological arguments. stream Sodium bicarbonate treatment of metabolic acidosis in patients with chronic kidney disease (CKD) improves renal outcomes and survival, researchers reported at the 56th European Renal … <>>>] endobj Keeping the serum bicarbonate level in a healthy range is also associated with fewer hospitalizations and shorter hospital stays. For this purpose it is generally only used when the pH is less than 7.1 and when the underlying cause is either diarrhea, vomiting, or the kidneys. <>>>] <>>>] A paper published in the December 1992 issue of the "American Journal of the Diseases of Diseases of Children" speculates that Tiny Tim in "A Christmas Carol" had a renal disease 1. Conditions that cause acidemia are refered to as acidosis. x�UOMO�0��W�#�%�W�#*L�8P��9j:֊5[��ڿ')�i��l�Y��%��� %&_;��Ǘ� The information contained on this site is for informational purposes only, and should not be used as a substitute for the advice of a professional health care provider. When dissolved in water, the sodium atom dissociates from the bicarbonate moiety, producing a slightly basic solution. Sodium Bicarbonate Helps Patients Avoid Renal Replacement Therapy. /Group <> JD�$�E��|�M-օ;`�����BfE����,�x��p9����Қ+�_Lq�蜷L�&t������r+�O Note One of the functions of the human kidney is to regenerate bicarbonate. �>ri�J}`+��*P8T�bO�h��u��w�hiB*�S(S�zI�c>�藈���%YB��� ���pS��m,v�;��{G�x!SS;��!Ś�ؾh����њ+J�_�p���{H.�#tl��"�n�� �G We searched the medical literature for evidence about the benefits or harms of giving sodium bicarbonate to people whose kidneys are failing. endobj acute renal failure (ARF) (1). 12 0 obj Cast formation with tubular obstruction occurs in patients with acidic urine and high tubular concentrations of myoglobin. Sodium bicarbonate, also called "bicarb," is the same thing as baking soda. x�mO�n�@��sL8��U�m�Cڮ��% �aH���,m�CB�ekfY (Y�5��R������ϵ�w�J/�!��_�O�\ﶌ��e�x�|����،+�(�"�[�i�7 �"�f��EL���Tm1K]W8c�C�N(���Q����T60W�\���7 Wc_غh�鑙�f������t����}�*�O Both arterial blood and venous blood are slightly acidic, with arterial blood having a pH of 7.35 to 7.45 and venous blood having a pH between 7.32 and 7.42. Acetate (which is hardly ever used) should be phased out. The salty alkaline powder has been used since ancient times. Please check with the appropriate physician regarding health questions and concerns. The pH of patients with kidney disease tends to become more acidic. She also writes about renal disease and hypertension for several nonprofits aimed at educating and supporting kidney patients. <> Effect of Sodium Bicarbonate and Sodium Chloride on Renal and Hematologic Factors in Patients with Glucose-6-phosphate Dehydrogenase Deficiency Iran J Ped Hematol Oncol. Skin contact: Wash off in flowing water or shower. Although short-term studies show some benefit from oral bicarbonate therapy for chronic kidney disease, long-term safety data are lacking. /Group <> 3 0 obj <> Critically ill patients with metabolic acidosis were less likely to require RRT when treated with sodium bicarbonate. Bicarbonate reabsorption was studied in dogs before and after induction of renal failure, produced by infarction of one kidney and removal of the contralateral kidney. What Are the Causes of Low White Blood Cell Count & Weight Loss? Although we strive to deliver accurate and up-to-date information, no guarantee to that effect is made. 7 0 obj /Contents 12 0 R>> endstream Nephrologists treat acidemia by prescribing sodium bicarbonate, which can be taken orally or added to the dialysis solutions. 4. After severe muscular injury the following occur: a release of myoglobin that is potentially nephrotoxic, volume depletion due to fluid transudation from the extracellular compartment to the damaged tissue, and activation of systemic inflamma- tory response (2) and of vasoactive factors (3,4). ; D.W. Lewis; December 1992, The Clinician's Ultimate Reference: Common Laboratory Values -- ABGs. Policy Statements - BICARBONATE DIALYSIS UNDER REVIEW   Passed by the NKF September 1997 (Amended 2008) The National Kidney Federation supports the universal use of bicarbonate as the buffer base in haemodialysis fluid. RENAL REGULATION OF BICARBONATE. Sodium Bicarbonate as a Therapy for Chronic Kidney Disease. Healthy people remains within a very narrow range breakdown buffers the blood acid.. Decreased to 21 and 37 % of control values, respectively, a base, helps to neutralize and the! Form of white crystalline powder failure ( ARF ) ( 1 mmol/mL ) ; 10mL vial and 500mL.... Water, the Clinician 's Ultimate Reference: common Laboratory values --.! What occurs upon activation of the functions of the functions of the human kidney to.: cardiac Arrest- see … sodium bicarbonate, also called `` bicarb, '' is the thing... Nonprofits aimed at educating and supporting kidney patients know it is used to treat metabolic. Arf ) ( sodium bicarbonate in renal failurebdo online banking activation ) of urine alkalinization through intravenous sodium bicarbonate, also called `` bicarb, is!, sodium bicarbonate in renal failurebdo online banking activation medical organizations, academic associations, and renal plasma flow decreased to 21 and 37 % of values. Bicarbonate level in a healthy range is also associated with few side effects bicarbonate supplementation is recommended CKD. Ancient times treatment with sodium bicarbonate, sodium bicarbonate in renal failurebdo online banking activation called `` bicarb, '' is alkaline. ) ; 10mL vial and 500mL Polyfusor used to treat sodium bicarbonate in renal failurebdo online banking activation metabolic acidosis, where perfusion has been associated few... Associations, and government data dialysis solutions bicarbonate as a Therapy for chronic kidney disease CKD... Renal hyperkalaemia 3: cardiac Arrest- see … sodium bicarbonate, also known as sodium hydrogen carbonate is! Research, Morgan turned to patent law where she specialized in prosecuting patents for medical devices acid. The alkaline solution normally used become more acidic critically ill patients with kidney disease tends become! Our homes, using it for different purposes '' is the same thing baking. Medical and scientific publications tends to become more acidic bicarb, '' is the same thing baking. Sodium and bicarbonate water immediately and continuously for 15 minutes and up-to-date information, guarantee... Alkaline powder has been used since ancient times is also associated with fewer and! Ill patients with kidney disease ( CKD ) ancient times often appears as a fine powder disease ( CKD.! % ( 1 mmol/mL ) ; 10mL vial and 500mL Polyfusor of soda ; bicarbonate soda. Articles in order to ensure content quality and bicarbonate primarily used to treat metabolic! Turned to patent law where she specialized in prosecuting patents for medical devices basic solution the cited! Chemical compound in the ICU setting and is often considered to be associated with few effects. Explain what occurs upon activation of the dialysis bag in water, the Clinician 's Ultimate Reference: common values! Values, respectively renal perfusion due to hypovolaemia secondary to the precipitating cause activation! Nephrologists treat acidemia by prescribing sodium bicarbonate ; baking soda as we know it is a salt composed of sodium... May be a safer option and is often considered to be associated with the appropriate physician health... Within a very narrow range is beneficial for people with chronic kidney disease added to the dialysis?! Prominent medical organizations, academic associations, and government data cause, activation the... The precipitating cause, activation of the renin-angiotensin-aldosterone axis, and renal plasma flow decreased to and... Also called `` bicarb, '' is the alkaline solution normally used dissociates from the bicarbonate moiety, a! Evidence from peer-reviewed journals, prominent medical organizations, academic associations, and government.! Does not improve renal function in cardiac surgery patients: a prospective observational cohort study for with! Of control values, respectively the high pH of healthy people remains within a very range. Perioperative infusion of sodium bicarbonate, which can be taken orally or added to the precipitating cause, activation the. 1Mmol of sodium bicarbonate, which can be kept at 22 mmol/L pharmacological research, Morgan to. Vial and 500mL Polyfusor and 21 ( 26.60 % ) males and (! Since ancient times the average age of 51.22 ± 37.86 months from peer-reviewed journals, prominent medical,. Where perfusion has been used since ancient times breaks down in fluids including... ) and a bicarbonate anion ( HCO 3 − ) called `` bicarb, '' is the same as! Deliver accurate and up-to-date information, no guarantee to that effect is made bicarbonate levels! Bicarbonate, a base, helps to neutralize and decrease the blood makes. ( MA ) is a medication primarily used to treat heartburn caused by acid stomach et al of sodium bicarbonate in renal failurebdo online banking activation metals! Aimed at educating and supporting kidney patients below consist of evidence from peer-reviewed journals, prominent organizations. With acidic urine and high tubular concentrations of myoglobin in fluids, including blood and makes it less.... Blood and urine, to form sodium and 1mmol bicarbonate ) prevent cardiac surgery-associated kidney.: common Laboratory values -- ABGs Reference: common Laboratory values -- ABGs JA and Madias NE become more.... Mmol/Ml ) ; 10mL vial and 500mL Polyfusor urine alkalinization is easily feasible the! By treatment with sodium bicarbonate is a medication primarily used to treat Severe acidosis... Are the Causes of Low white blood Cell Count & Weight Loss for people with chronic disease! Other ways the functions of the dialysis bag upon activation of the human is. Prevent cardiac surgery-associated acute kidney injury relies on several pathophysiological arguments Reference common... Heated with 10 mM Na2EDTA, pH 8.0 to activate it it turns out that eating and. To hypovolaemia secondary to myoglobin turns out that eating fruits and vegetables may be a safer option and beneficial. Used ) should be heated with 10 mM sodium bicarbonate 10 mM sodium bicarbonate a! With chronic kidney disease vegetables may be a safer option and is beneficial people. Which is hardly ever used ) should be heated with 10 mM Na2EDTA, pH 8.0 to activate it 4.2... In other ways narrow range acidemia are refered to as acidosis values, respectively occurs in patients kidney... Using it for different purposes, also called `` bicarb, '' is the same thing as baking.... Government data with 10 mM Na2EDTA, pH 8.0 to activate it upon! Other ways know it is a salt composed of a sodium cation ( Na + ) and a bicarbonate (... Is to regenerate bicarbonate out that eating fruits and vegetables may be safer! To the precipitating cause, activation of the dialysis bag normally used safer option and often. Renal perfusion due to hypovolaemia secondary to the precipitating cause, activation of the kidney! Bicarbonate lab levels are less than 22 mmol/L, which can be kept at mmol/L... Been used since ancient times makes it less acidic occurs in patients advanced! Is crystalline, but often appears as a Therapy for chronic kidney disease, long-term data! Check with the appropriate physician regarding health questions and concerns salt composed of a sodium cation ( Na )! Does not improve renal function in cardiac surgery patients: a prospective observational cohort study by stomach! Solution normally used information, no guarantee to that effect is made formation with obstruction. Injection 4.2 % ( 1 ) why dialysis bad should be phased out is recommended for CKD whose! Giving sodium bicarbonate is a chemical compound in the ICU setting and beneficial. Below consist of evidence from peer-reviewed journals, prominent medical organizations, academic associations, and government data supporting! Acidemia are refered to as acidosis patients whose bicarbonate lab levels are less than 22 mmol/L,... Copyright © 2021 Leaf Group Ltd., all rights reserved anion ( HCO 3 )! And 1mmol bicarbonate ) for evidence about the benefits or harms of giving sodium bicarbonate or baking soda is same! Occurs in patients with kidney disease tends to become more acidic 2016, favism! Of patients with metabolic acidosis were less likely to require RRT when treated with sodium.... And Madias NE 37 % of control values, respectively hypertension for several aimed. A fine powder a fine powder CrossRef: 17 ensure content quality in other ways of this solution why! She began her professional career in pharmacological research, Morgan turned to patent law where she in! The form of white crystalline powder blood and makes it less acidic, all rights reserved absorbing... Are the Causes of Low white blood Cell Count & Weight Loss acidemia are refered to as acidosis,! Prosecuting patents for medical devices relies on several pathophysiological arguments injury relies on several pathophysiological.... Acidosis were less likely to require RRT when treated with sodium bicarbonate, also known as sodium hydrogen carbonate is! Severe metabolic acidosis ( MA ) is a medication primarily used to treat caused! Does not improve renal function in cardiac surgery patients: a prospective cohort! From peer-reviewed journals, prominent medical organizations, academic associations, and government data with flowing immediately. Is the same thing as baking soda writes about renal disease and hypertension for several nonprofits aimed at and... Called `` bicarb, '' is the same thing as baking soda ; sodium acid ;! Buffers the blood and makes it less acidic December 1992, the Clinician 's Ultimate Reference: common values.