Calcium Chloride Flashcards

1
Q

Calcium Chloride- Name

A

Calcium Chloride

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2
Q

Calcium Chloride- Class

A

Electrolyte

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3
Q

Calcium Chloride- MoA

A

Necessary for the proper function of the nervous, muscular, skeletal, digestive and endocrine systems

Positive inotropic activity increases the strength of the myocardial contractions Increases ventricular automaticity

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4
Q

Calcium Chloride- Indication

A

Calcium Channel Blocker or Beta blocker overdose

Acute hyperkalemia or cardiac arrest when hyperkalemia is suspected

Hypocalcemia

Suspected hypermagnesemia with respiratory depression

Crush syndrome

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5
Q

Calcium Chloride- Contra

A

Digitalis toxicity

Hypercalcemia

Ventricular fibrillation

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6
Q

Calcium Chloride- S/E

A

Cardiovascular: hypotension, dysrhythmias, cardiac arrest

Neurological: syncope, tingling sensations

Gastrointestinal: metallic taste

Other: sense of heat waves, necrosis/cellulitis upon infiltration of IV

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7
Q

Calcium Chloride- Routes

A

IV, IO, IVPB

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8
Q

Calcium Chloride- A. Dose

A

Known or suspected hyperkalemia or Beta Blocker OD, cardiac arrests:

500 mg to 1 gm IVP/IO

over 5-10 minutes (may repeat every 10 minutes prn). Repeat as clinically indicated

Calcium channel blocker (prophylaxis):

2-4 mg/kg

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9
Q

Calcium Chloride- P. Dose

A

20 mg/kg (0.2ml/kg)

slow IVP/IO (no faster than 100mg/min).

Repeat as clinically indicated

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10
Q

Calcium Chloride- EXTRAs

A

Precautions: Use with caution in patients with renal insufficiency or history of cardiac disease

May cause cerebral or coronary vasospasm

Can cause bradycardia if administration is too rapid

Safe use in children, pregnant mothers or nursing mothers has not been established.

Interactions: Do not mix with sodium bicarbonate (forms precipitate crystals in blood)

Potentiates the effects of digitalis

Antagonizes the effects of calcium channel blockers

Onset is immediate with an unknown duration

Always flush IV after administration of any drug, in particular those that could form a precipitate.

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