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Calcium Chloride/Calcium Gluconate
Trade Name
Calcium
Calcium Chloride/Calcium Gluconate
Class
Electrolyte
Calcium Chloride/Calcium Gluconate
Mechanism of Action
Increases cardiac contractile state (positive inotropic effect)
May enhance ventricular automaticity
Calcium Chloride/Calcium Gluconate
Indications
Hypocalcemia
Magnesium Sulfate Overdose
Hyperkalemia
Calcium Channel Blocker Toxicity.
Adjunctive therapy in treatment of insect bites & stings
Calcium Chloride/Calcium Gluconate
Contraindications
Hypercalcemia
VF during cardiac resuscitation
Digitalis Toxicity
Calcium Chloride/Calcium Gluconate
Adverse Reactions
Bradycardia
Asystole
Hypotension
Peripheral Vasodilation
Metallic Taste
Local Necrosis
Coronary & Cerebral Artery Spasm
Nausea/Vomiting
Calcium Chloride/Calcium Gluconate
Drug Interactions
May worsen dysrhythmias secondary to digitalis
May antagonize effects of Verapamil
Flush line before and after administration of sodium bicarbonate
Calcium Chloride/Calcium Gluconate
How Supplied
10% solution in 10 ml ampules, vials and prefilled syringes (100 mg/ml)
Calcium Chloride/Calcium Gluconate
Dosage and Administration
Adult
2-4 mg/kg of 10% solution slowly IV over 5 minutes; may repeat in 10 minutes (maximum: 1 gm dose)
Calcium Chloride/Calcium Gluconate
Dosage and Administration
Pediatric
20 mg/kg/dose of 10% solution slow IV/ IO (maximum: 1 gm dose); (may repeat in 10 minutes.)
Calcium Chloride/Calcium Gluconate
Duration of Action
Onset
: 5-15 minutes.
Peak effects
: 3-5 minutes.
Duration
: 15-30 minutes but may persist for 4 hours (dose dependent)
Calcium Chloride/Calcium Gluconate
Special Considerations
Pregnancy safety
: Category C.
For pediatrics
: if calcium gluconate is unavailable, 1-2
ml of 10% calcium chloride solution, diluted with IV
Author
papeirce
ID
86592
Card Set
calcium_chloride-calcium_gluconate.txt
Description
Prehospital Medication Flashcards for Paramedic School - Massachusetts and Rhode Island
Updated
2011-05-18T19:30:59Z
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