Calcium Chloride 10%

Question 1

Indications for Calcium Chloride

Answer 1

• Hyperkalemia
• Calcium channel blocker OD (treats the hypotension/antidote)
• Ionized hypocalcemia (eg, after multiple blood transfusions)
• Magnesium sulfate toxicity (respiratory depression, hypotension)

Question 2

Adult: Dosage for Calcium Chloride

Answer 2

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).

Question 3

Contraindications for Calcium Chloride

Answer 3

• Hypercalcemia
• Digitalis toxicity
• Renal calculi
• Ventricular Fibrillation (except in the setting of suspected hyperkalemia)

Question 4

Pediatric: Dosage for Calcium Chloride 10%

Answer 4

Pediatric: 20 mg/kg slow IV push to single max 1000mg, q 5-10 minutes. Total max 2g or 40mg/kg (whichever is less).