CALCIUM CHLORIDE Flashcards
Generic/Trade Name
CALCIUM CHLORIDE
CALCIUM CHLORIDE
CALCIUM CHLORIDE
Drug Classification:
Mineral
Electrolyte
CALCIUM CHLORIDE
Mechanism of Action:
Replacement of elemental calcium ⇒ increases
myocardial contractility (inotropy)
ventricular automaticity
CALCIUM CHLORIDE
Pharmacokinetics
- Onset of Action = Immediate
- Peak Effects = Unknown
- Duration of Effect = Varies
- Half-Life = N/A
CALCIUM CHLORIDE
Indications & Contraindications
Indications/Field Use:
- Acute hyperkalemia
- Acute hypocalcemia
- Ca2+ channel blocker toxicity
- Crush syndrome
- Hypermagnesemia
- Abd muscle spasm from Brown Recluse Spider or Man of War Jellyfish
- Cardiac arrest secondary to suspected hyperkalemia or known dialysis Pt.
Contraindications:
• VF
• Hypercalcemia
CALCIUM CHLORIDE
Side Effects/Adverse Reactions:
Bradycardia, dysrhythmias, cardiac arrest
N+V, Syncope
CALCIUM CHLORIDE
Adult & Pedi Dose:
(ADULT): 8-16mg/kg IV, IO or 500-1000mg IV, IO
(PEDI): 20mg/kg slow IVP (IO)
CALCIUM CHLORIDE
Precautions:
Can cause tissue necrosis at injection site, ensure patent IV line
Caution PT taking digitalis, may precipitate digitalis toxicity
*Digitalis Toxicity - Symptoms include hypersalivation, fatigue, nausea/vomiting, loss of appetite (anorexia), diarrhea, visual disturbances (yellow or green halos around objects), confusion, dizziness, nightmares, agitation, and/or depression.*
**Characteristic EKG changes include bradycardia (the most frequent vital sign abnormality in toxicity), a prolonged PR interval. An accelerated junctional rhythm or bidirectional ventricular tachycardia suggests digoxin toxicity until proven otherwise.**
CALCIUM CHLORIDE
Drug-Drug Interactions:
Forms PPT with NaHCO3, flush tubing between administration
Can cause digitalis toxicity when given to Pt. taking digitalis
