MED- Calcium Chloride

  1. Functional Class
  2. Mechanism of Action
    • Replaces elemental calcium (essential for regulating excitation of nerves and muscle, also: clotting, renal function and bone tissue)
    • Increases myocardial force and ventricular automaticity
    • Additionally serves as an antidote for mag sulfate and calcium channel blocker toxicity.
    • Calcium chloride has three times more elemental calcium than calcium gluconate
  3. Indications
    • Calcium channel blocker toxicity/overdose
    • Prophalactically prior to IV calcium channel blockers
    • Acute hyperkalemia, hypermagnesia or hypocalcemia
  4. Contraindications
    • VF
    • Hypercalcemia
    • Digitalis toxicity
  5. Precautions
    • Flush IV line between calcium chloride and sodium bicarbonate. (Will form precipitate)
    • Monitor for tissue necrosis at injection site
  6. Side Effects
    • Dysrhythmias including bradycardia
    • Cardiac arrest
    • Cyncope
    • N/V
    • Hypotension
    • Necrosis with extravasation
  7. Interaction
    • Sodium bicarbonate
    • Toxicity with digitalis
    • Antagonizes calcium channel blockers
  8. Dosage and Route
    • Hyperkalemia and calcium channel blocker overdose:
    • 8-16 mg/kg of 10% solution slow IVP q 10 mins prn

    • Prophylactic treatment prior to calcium channel blockers:
    • 2-4 mg/kg of 10% solution slow IVP
Card Set
MED- Calcium Chloride
MED-Calcium Chloride