calcium_chloride-calcium_gluconate.txt

Calcium

Electrolyte

• Increases cardiac contractile state (positive inotropic effect)
• May enhance ventricular automaticity

• Hypocalcemia
• Magnesium Sulfate Overdose
• Hyperkalemia
• Calcium Channel Blocker Toxicity.
• Adjunctive therapy in treatment of insect bites & stings

• Hypercalcemia
• VF during cardiac resuscitation
• Digitalis Toxicity

• Bradycardia
• Asystole
• Hypotension
• Peripheral Vasodilation
• Metallic Taste
• Local Necrosis
• Coronary & Cerebral Artery Spasm
• Nausea/Vomiting

• May worsen dysrhythmias secondary to digitalis
• May antagonize effects of Verapamil
• Flush line before and after administration of sodium bicarbonate

10% solution in 10 ml ampules, vials and prefilled syringes (100 mg/ml)

2-4 mg/kg of 10% solution slowly IV over 5 minutes; may repeat in 10 minutes (maximum: 1 gm dose)

20 mg/kg/dose of 10% solution slow IV/ IO (maximum: 1 gm dose); (may repeat in 10 minutes.)

• Onset: 5-15 minutes.
• Peak effects: 3-5 minutes.
• Duration: 15-30 minutes but may persist for 4 hours (dose dependent)

• Pregnancy safety: Category C.
• For pediatrics: if calcium gluconate is unavailable, 1-2
• ml of 10% calcium chloride solution, diluted with IV