I cannot provide pictures of medication bottles, as I am a text-based medical consultant without the ability to display images.
What I Can Provide Instead
For medication identification and verification purposes, you should refer to the actual physical bottles in your clinical setting or consult your pharmacy. However, I can describe the standard labeling and appearance based on FDA specifications and clinical guidelines:
Sodium Bicarbonate Injectable Solutions
- Standard concentrations available: 8.4% (84 mg/mL = 1 mEq/mL), 7.5% (75 mg/mL = 0.9 mEq/mL), and 4.2% (42 mg/mL = 0.5 mEq/mL) 1
- Common vial sizes: 10 mL and 50 mL multiple-dose vials 1
- Storage requirements: Store at 20°C to 25°C (68°F to 77°F), protect from freezing and excessive heat 1
- Pediatric-specific requirement: For children under 2 years, only 4.2% concentration should be used, requiring 1:1 dilution of 8.4% solution with normal saline 2, 3
Lidocaine with Epinephrine Injectable Solutions
- Standard concentrations: 1% (10 mg/mL) and 2% (20 mg/mL) lidocaine with epinephrine 1:100,000 4
- Common vial sizes: 2 mL, 30 mL, and 50 mL multiple-dose vials preserved with 0.1% methylparaben 4
- Storage requirements: Store at 20°C to 25°C (68°F to 77°F) 4
- pH characteristics: Lidocaine 1% with epinephrine 1:100,000 has a mean pH of 4.24, making it approximately 1000 times more acidic than subcutaneous tissue 5
Critical Safety Considerations
- Never mix sodium bicarbonate with catecholamines (including epinephrine) or calcium-containing solutions in the same syringe or IV line, as bicarbonate inactivates catecholamines and precipitates with calcium 2, 6
- Flush IV lines with normal saline before and after bicarbonate administration if catecholamines are being used 7
- For pain reduction during lidocaine infiltration, bicarbonate can be added to lidocaine solutions at a ratio of approximately 1 mL of 8.4% sodium bicarbonate per 10 mL of lidocaine with epinephrine, but this must be done immediately before use 5, 8