Calcium Chloride 10% Flashcards
1
Q
Generic name for Calcium Chloride
A
Calcium Chloride 10%
2
Q
Trade name for Calcium Chloride 10%
A
Calcium Chloride
3
Q
Classification of Calcium Chloride
A
Calcium Supplement
4
Q
MOA (Pharmacodynamics) of Calcium Chloride
A
- Needed for maintenance of nervous, muscular, skeletal systems, enzyme reactions, normal cardiac contractility, and blood coagulation.
- Affects secretory activity of endocrine and exocrine glands
5
Q
Indications for Calcium Chloride
A
- Hyperkalemia
- Calcium channel blocker OD (treats the hypotension/antidote)
- Ionized hypocalcemia (eg, after multiple blood transfusions)
- Magnesium sulfate toxicity (respiratory depression, hypotension)
6
Q
Adult: Dosage for Calcium Chloride
A
Adult: 500 to 1000mg (of 10% solution) very SIVP. May be repeated q 5-10 minutes to total max 5g or 100mg/kg (whichever is less).
7
Q
Contraindications for Calcium Chloride
A
- Hypercalcemia
- Digitalis toxicity
- Renal calculi
- Ventricular Fibrillation (except in the setting of suspected hyperkalemia)
8
Q
Precautions for Calcium Chloride
A
DO NOT administer with Sodium Bicarbonate as precipitate will form.
- Not recommended for routine treatment in cardiac arrest outside of hyperkalemia, hypocalcemia or hypermagnesemia
- Higher doses may be required for calcium channel blocker overdoses
- Monitor ECG and BP
- Give slowly, stop if patient complains of discomfort
- Avoid extravasation and necrosis; Central venous administration is preferred if available
- After IV injection patient should be recumbent.
9
Q
Pediatric: Dosage for Calcium Chloride 10%
A
Pediatric: 20 mg/kg slow IV push to single max 1000mg, q 5-10 minutes. Total max 2g or 40mg/kg (whichever is less).
