Sodium bicarb infusions

Hello everyone. I was working inpatient a few days ago and had a doctor order a sodium bicarb drip 150meq in 1 liter of 0.45% sodium chloride. I called to get it changed since we don’t do that at my institution and was explaining to the doctor that 150meq in 0.45% would be a hypertonic solution (227meq) but they still wanted to go ahead with it. At my institution we only do 100meq in 1 liter of 0.45% sodium chloride or 150meq in 1 liter D5W. I know some institutions use 1 liter of sterile water. What do you guys do at your institution? Do you check the tonicity of the solution? Do you have a standardized protocol regarding sodium bicarbonate?

Also the EMR we use lets providers order many different types of sodium bicarb infusions (75meq/1000mL 0.45% NaCl, 25meq/1000mL D5W, 150meq/1000mL 0.45% NaCl).