Calcium Chloride

Question 1

Calcium Chloride:class

Answer 1

electrolyte

Question 2

Calcium Chloride:drug actions

Answer 2

inotropic effect;assists in vasoconstriction

Question 3

Calcium Chloride:indications

Answer 3

hyperkalemia, except when associated with digitalis toxicity;hypocalcemia;calcium channel blocker toxicity;hypermagnesemia;prevention of hypotensive effects of calcium channel blocking agents

Question 4

Calcium Chloride:contraindications

Answer 4

VFib during cardiac resuscitation;patients with digitalis toxicity;hypercalcemia

Question 5

Calcium Chloride:side effects

Answer 5

bradycardia;hypotension;metallic taste;severe local necrosis and sloughing following IM use or IV infiltration

Question 6

Calcium Chloride:drug interactions

Answer 6

calcium may worsen dysrhythmias caused by digitalis;calcium may antagonize the peripheral vasodilatory effects of calcium channel blockers

Question 7

Calcium Chloride:adult dose

Answer 7

hyperkalemia and calcium channel blocker overdose:typical dose is 500-1000 mg, may be repeated as needed

Question 8

Calcium Chloride:route

Answer 8

IV, <1 ml/min

Question 9

Calcium Chloride:pedi dose

Answer 9

hyperkalemia and calcium channel blocker overdose:20 mg/kg IV, may be repeated if documented or clinical indication persists, do not exceed adult dose

Question 10

Calcium Chloride:precautions

Answer 10

may produce vasospasm in coronary and cerebral arteries;do not use routinely in cardiac arrest;rapid administration may cause bradycardia and hypertension;monitor HR during administration