Management of bicarbonate imbalance involves treating the underlying cause. In cases of metabolic acidosis, treatment may include administering intravenous bicarbonate, fluids, or medications to correct the acid-base balance. For metabolic alkalosis, interventions might involve addressing fluid imbalances, discontinuing causative medications, or using acidifying agents. Nurses play a pivotal role in monitoring patients, administering treatments, and providing education on lifestyle modifications to prevent recurrence.