Calcium Chloride Flashcards

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1
Q

Calcium Chloride Class

A

Electrolyte, antidote

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2
Q

Calcium Chloride Action

A

Competes with potassium to increase inotropy & dromotropi effects.

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3
Q

Calcium Chloride Indications

A
  • Cardiac arrest with suspected hypocalcemia or hyperkalemia
  • Known calcium channel blocker overdose
  • Crush syndrome with suspected hyperkalemia or lasting more than 4 hours
  • magnesium overdose/hypermagnesemia
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4
Q

Calcium Chloride Contraindications

A

Hypercalcemia, Digatals Toxicity, V-Fib, Cardiac Arrest

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5
Q

Calcium Chloride Adult dose - Prophylaxis prior to calcium channel blocker administration

A

2–4 mg/kg Slow IVP/IO, repeat in 10 min PRN

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6
Q

Calcium Chloride Pedi dose - Prophylaxis prior to calcium channel blocker administration

A

20mg/kg q 10 min, max 1 g

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7
Q

Calcium Chloride Adult dose - Hyperkalemia/calcium channel blocker overdose:

A

500 mg to 1 g, repeat in 10 min PRN

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8
Q

Calcium Chloride Side Effects

A

Bradycardia, Hypotension, Syncope, headache, N/V, Dizziness

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9
Q

Calcium Chloride Onset

A

5-15 min

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10
Q

Calcium Chloride Durration

A

15 min - 4 hrs

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11
Q

Calcium Chloride Interactions

A

forms a precipitate when mixed with sodium bicarbonate; use with digoxin can increase cardiac irritability; can be mixed with water-soluble gel, such as K-Y Jelly, in the absence of calcium gluconate to topically treat hydrofluoric acid burns

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12
Q

Calcium Chloride Percautions

A

use caution in patients with renal insufficiency or heart disease; will cause tissue necrosis with IV infiltration

(formerly used for black widow bites and scorpion stings but no longer recommended; use analgesics for pain and benzodiazepines for muscle cramping)

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