Calcium Chloride

Question 1

Calcium Chloride Class

Answer 1

• Electrolyte replacement

Question 2

Calcium Chlorine Action

Answer 2

• Increase + inotropic and vasoconstrictive effects.
• Increase systemic arterial blood pressure
• It also appears to increase ventricular automaticity

Question 3

Calcium Chlorine Indications

Answer 3

• Hyperkalemia
• Hypermagnesemia
• Hypocalcemia (CCB OD)

Question 4

Calcium Chlorine Contraindications

Answer 4

• Hypercalcemia
• Digitalis toxicity
• VF during resuscitation

Question 5

Calcium Chlorine Precautions

Answer 5

• May induce digitalis toxicity in patients receiving digoxin
• Can cause tissue necrosis and sloughing
• Pregnancy (C)
• Respiratory disease
• Cor pulmonale
• Respiratory Failure

Question 6

Calcium Chlorine Dosage

Answer 6

Adults:
• HyperK, Asystole/PEA w/hyperK, and CCB OD: 500-1000 mg SIVP.
Pediatrics:
• 20 mg/kg infused over 10 mi (no faster than 100 mg/min)
Max–1 g / dose

Question 7

Calcium Chlorine Onset/ Duration

Answer 7

• Onset: 5-15 minutes

* Duration: Dose dependent (effects may persist for 4 hrs. after IV admin)

Question 8

Calcium Chlorine Side Effects

Answer 8

• Metallic taste
• Burning
• “Heat waves”
• Bradycardia (may cause asystole)
• Hypotension
• Cardiac arrhythmias
• Increased digitalis toxicity
• Extravasation with necrosis and sloughing
• Vasospasm in coronary and cerebral arteries.
• N/V

Question 9

Calcium Chlorine Interactions

Answer 9

• Precipitates with sodium bicarb, epi and K+
• When given to a patient on Digoxin, can cause elevated Digoxin levels and possibly digitalis toxicity
• May antagonize the effects of Verapamil