Calcium Chloride

Question 1

Calcium Chloride Class

Answer 1

Electrolyte, antidote

Question 2

Calcium Chloride Action

Answer 2

Competes with potassium to increase inotropy & dromotropi effects.

Question 3

Calcium Chloride Indications

Answer 3

• 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

Question 4

Calcium Chloride Contraindications

Answer 4

Hypercalcemia, Digatals Toxicity, V-Fib, Cardiac Arrest

Question 5

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

Answer 5

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

Question 6

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

Answer 6

20mg/kg q 10 min, max 1 g

Question 7

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

Answer 7

500 mg to 1 g, repeat in 10 min PRN

Question 8

Calcium Chloride Side Effects

Answer 8

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

Question 9

Calcium Chloride Onset

Answer 9

5-15 min

Question 10

Calcium Chloride Durration

Answer 10

15 min - 4 hrs

Question 11

Calcium Chloride Interactions

Answer 11

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

Question 12

Calcium Chloride Percautions

Answer 12

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)