Calcium Chloride

Question 1

Calcium Chloride

Class

Answer 1

Electorlyte

Question 2

Calcium Chloride

Mechanism of Action

Answer 2

Increases cardiac contractility (positive chronotropic effect) and may enhance ventricular automaticity.

Question 3

Calcium Chloride

Indications

Answer 3

Hypocalcemia, hyperkalemia, magnesium sulfate overdose, calcium channel blocker overdose, adjunctive therapy in treatment of insect bites and stings.

Question 4

Calcium Chloride

Contraindications

Answer 4

Hypercalcemia, V-Fib, patients receiving digitalis

Question 5

Calcium Chloride

Adverse Reactions

Answer 5

Bradycardia, Asystole, hypotension, peripheral vasodilation, local necrosis, coronary and cerebral artery spasm, nausea and vomiting

Question 6

Calcium Chloride

Drug Interactions

Answer 6

May worsen arrhythmias secondary to digitalis toxicity. May antagonize the effects of verapamil. Do not mix with or infuse immediately before or after sodium bicarbonate without intervening flushing.

Question 7

Calcium Chloride

Adult Dosing

Answer 7

Adult: 500 – 1,000 mg (5 – 10 mL of a 10% solution) IV/IO push for hyperkalemia and calcium channel-blocker overdose (repeated as needed).

Question 8

Calcium Chloride

Pediatric Dosing

Answer 8

20 mg/kg (0.2 mL/kg) slow IV/IO push. Maximum 1 g dose; may repeat in 10 minutes.

Question 9

Calcium Chloride

Onset

Answer 9

Onset:

5-15 minutes

Question 10

Calcium Chloride

Peak Effects

Answer 10

Peak Effects

3-5 Minutes

Question 11

Calcium Chloride

Duration

Answer 11

Duration

15-30 minutes, but may persist up to 4 hours depending on the dose administered

Question 12

Calcium Chloride

Special Considerations

Answer 12

Do not use routinely on cardiac arrest