Calcium Chloride Flashcards
1
Q
Drug Classification
A
Mineral/Electrolyte
2
Q
Mechanism of Action
A
Replacement of elemental calcium -> dissociates rapidly to Ca2+ and Cl- ions ->Positive iontropy and chronotropy
3
Q
Pharmacokinetics
A
- Onset of Action- Immediate
- Peak Effects- Unknown
- Duration- Varies
- Half-Life- N/A
4
Q
Indications/Field Use
A
- Acute hyperkalemia
- Ca2+ channel blocker toxicity
- Crush syndrome
- Abdominal muscle spasm from Brown Recluse Spider or Man of War jellyfish
- Cardiac arrest secondary to suspected hyperkalemia or known dialysis patient
5
Q
Contraindications
A
Hypercalcemia
6
Q
Side Effects/Adverse Reactions
A
Bradycardia, cardiac arrest, dysrhythmias, N&V, syncope
7
Q
Dose
A
Adult
1g slow IV/IO over 1 minute
Pedi
20mg/kg slow IV/IO
8
Q
Precautions
A
Can cause tissue necrosis at injection site, ensure patent IV line
9
Q
Drug-Drug interactions
A
- Forms PPT with NaHCO3 -> flush IV tubing between administration
- Digitalis toxicity when administered to patient currently taking digitalis
