Calcium Chloride

Question 1

Calcium Chloride Trade Name

Answer 1

CaCl

Question 2

Calcium Chloride Classification

Answer 2

Medscape:
Antidotes,Calcium Salts, Electrolyte

Question 3

Calcium Chloride Mechanism

Answer 3

Medscape:
Bone mineral component; cofoactor in enzymatic reactions, essential for neurotransmission, muscle contraction, and many signal transduction pathways

Capital:
Provides elemental calcium to cause a significant increase in inotropic force and ventricular automaticity.

Question 4

Calcium Chloride Onset of Action

Answer 4

Capital:
1-3 minutes

Question 5

Calcium Chloride Duration of Action

Answer 5

Capital:
20-30 minutes, but up to 4 hours in higher doses

Question 6

Calcium Chloride Indications

Answer 6

CT Protocols:
Moderate to severe hyperkalemia
Calcium channel blocker (CCB) overdose
Risk of tissue damage with extravasation - Ensure IV/IO patency.

Capital:
Hypocalcemia, Hyperkalemia, Hypermagnesemia, Beta-blocker toxicity, Calcium channel blocker toxicity

Question 7

Calcium Chloride Contraindications

Answer 7

Capital:
Hypercalcemia, VF, Digitalis toxicity

Question 8

Calcium Chloride Side Effects/ Precautions/ Comments

Answer 8

Capital:
Dysrhythmia, Bradycardia, Hypotension, Vascular spasm, Peripheral vasodilation,
Syncope

Question 9

Calcium Chloride Adult Dose

Answer 9

CT Protocols:
Bradycardia with suspected hyperkalemia or CCB OD
1 gm IV/IO over 5-10 minutes
Cardiac arrest with suspected hyperkalemia
1 gm IV/IO
Hyperkalemia
1 gm IV/IO over 5 minutes, ensure IV/IO patency; May repeat once after 5 Min.

Question 10

Calcium Chloride Pediatric Dose

Answer 10

Capital:
20 mg/kg (max 1,000 mg) slow IV/IO push repeated in 10 minutes

Question 11

Calcium Chloride
Max Dose Adult (Pediatric)

Answer 11

2gm (1gm)

Question 12

Calcium Chloride Routes of Administration

Answer 12

IV/IO

Question 13

Calcium Chloride How Supplied

Answer 13

10mg syringe, 100mg/ml (10% solution)