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Description:
Provides elemental calcium in the form of the cation (Ca2+). Calcium is required for many physiological activities.
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Mechanism of Action
Replaces calcium in cases of hypocalcemia, Increases cardiac contractility
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Onset of Action:
- Onset: Immediate
- Peak: Unknown
- Duration: Varies
- Half-Life: Not applicable
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Indications:
Acute hyperkalemia, Acute hypocalcemia, Calcium channel blocker overdose, Abdominal muscle spasm associated with spider bite and Portuguese man-of-war stings, Elevated T-Waves(Indicator of hyperkalemia and renal failure hyperkalemia.)
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Contraindications:
Pts receiving digitalis
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Precautions
IV line should be flush between calcium chloride and sodium bicarbonate administration. Extravasation may cause tissue necrosis
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Side Effects
Dysrhythmias (bradycardia and Asystole), hypotension, nausea/vomiting, syncope
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Adult Dose
2-4 mg/kg of a 10% solution, may be repeated at 10 minute intervals
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Pedi-Dose:
5-7 mg/kg of a 10% solution (high blood serum levels is why pedi dose is higher (don’t need to know for quiz)
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Max Dose:
Adult 2-4 mg/kg (Not worry about pedi)
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Routes of Administration
IV/IO
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