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Drug Profiles > Calcium Chloride & Sodium Bicarbonate > Flashcards

Calcium Chloride & Sodium Bicarbonate Flashcards

1
Q

Calcium Chloride

Class

A

Electrolyte

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2
Q

Calcium Chloride

Supply

A

prefilled syringe

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3
Q

Calcium Chloride

Mechanism of Action

A

-increases intracellular calcium levels
-increases myocardial contractility

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4
Q

Calcium Chloride

Indications

A

-acute hypocalcemia
-calcium channel blocker overdose
-beta blocker overdose
-hyperkalemia

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5
Q

Calcium Chloride

Contraindication

A

none in emergency setting

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6
Q

Calcium Chloride

Adverse Reactions

A

-extravasation may cause tissue necrosis
-syncope
-asystole
-bradycardia
-dysrhythmias
-nasuea, vomiting

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7
Q

Calcium Chloride

Routes

A

-IV
-IO

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8
Q

Calcium Chloride

Onset

A

1-3 minutes

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9
Q

Calcium Chloride

Adult Dose

A

500-1000 mg
may repeat in 10 minutes

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10
Q

Calcium Chloride

Pediatric Dose

A

0.2 - 0.25 mL/kg of a 10% solution

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11
Q

Calcium Chloride

Special Consideration

A

-pretreatment to administration of diltiazem
-may cause bradydysrhythmias when patient uses digoxin

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12
Q

Sodium Bicarbonate

Class

A

alkalizing agent

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13
Q

Sodium Bicarbonate

Supply

A

prefilled syringe

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14
Q

Sodium Bicarbonate

Mechanism of Action

A

-buffers excess acid
-increases pH

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15
Q

Sodium Bicarbonate

Indications

A

-metabolic acidosis in these conditions
(salicyate overdose, tricylcic antidepressant overdose, hyperkalemia, metabolic acidosis, acidosis refractory to effective ventilation, prolonged cardiac arrest)

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16
Q

Sodium Bicarbonate

Contraindication

A

none in emergency setting

17
Q

Sodium Bicarbonate

Adverse Reactions

A

extravasation may cause tissue necrosis

18
Q

Sodium Bicarbonate

Routes

A

-IV
-IO

19
Q

Sodium Bicarbonate

Onset

A

Immediate

20
Q

Sodium Bicarbonate

Adult Dose

A

1.0 mEq/kg
may repeat 0.5 mEq/kg every 10 mins

21
Q

Sodium Bicarbonate

Pediatric Dose

A

1.0 mEq/kg
may repeat 0.5 mEq/kg every 10 mins

22
Q

Sodium Bicarbonate

Special Consideration

A

drug must be used in conjunction with effective ventilation

Drug Profiles (16 decks)

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