CALCIUM CHLORIDE

Question 1

CLASS

Answer 1

ELECTROLYTE

POSITIVE INOTROPIC AGENT

Question 2

ACTIONS

Answer 2

FACILITATES ACTIN-MYOSIN INTERACTION IN CARDIAC MUSCLE AND SMOOTH MUSCLE OF TUNICA MEDIA

ESTABLISHES ELECTRICAL GRADIENT TO MOVE K+ FROM PLASMA TO CELL IN HYPERKALEMIA

Question 3

INDICATIONS

Answer 3

ACUTE HYPERKALEMIA IN PATIENTS NEEDING HEMODIALYSIS

HYPOTENSION FROM CALCIUM CHANNEL BLOCKER TOXICITY

WIDE QRS COMPLEX RHYTHMS IN HYPERKALEMIA

MAGNESIUM SULFATE OVERDOSE

HYPOCALCEMIA

Question 4

DOSAGE/ROUTE

Answer 4

SEE HAWAII SO FOR RENAL DIALYSIS CARDIAC ARREST

IN CONCIOUS PATIENT, ADMINISTER SLOWLY ~1 ML/MIN

Question 5

STANDARD PREP

Answer 5

1 GM / 10 ML

Question 6

SIDE EFFECTS

Answer 6

MAY PRECIPTATE DRUG TOXICITY

CARDIAC ARRHYTHMIAS

MAY CAUSE VENTRICULAR STANDSTILL IN BEATING HEART

METALLIC TASTE

MAY CAUSE PAIN OR BURNING AT IV SITE

Question 7

PRECAUTIONS

Answer 7

MONITOR VS AND EKG

DO NOT MIX WITH SODIUM BICARBONATE WITHOUT FLUSHING THE LINE FIRST SINCE PRECIPITATE MAY FORM