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 pts 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 standing order for Renal Dialysis Cardiac Arrest

In conscious pt, adminster slowly ~ 1 ml/min.

Question 5

Standard prep

Answer 5

1 gm/10ml

Question 6

Side effects

Answer 6

May precipitate dig 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 precipiate may from.