Calcium Chloride & Sodium Bicarbonate Flashcards
Calcium Chloride
Class
Electrolyte
Calcium Chloride
Supply
prefilled syringe
Calcium Chloride
Mechanism of Action
-increases intracellular calcium levels
-increases myocardial contractility
Calcium Chloride
Indications
-acute hypocalcemia
-calcium channel blocker overdose
-beta blocker overdose
-hyperkalemia
Calcium Chloride
Contraindication
none in emergency setting
Calcium Chloride
Adverse Reactions
-extravasation may cause tissue necrosis
-syncope
-asystole
-bradycardia
-dysrhythmias
-nasuea, vomiting
Calcium Chloride
Routes
-IV
-IO
Calcium Chloride
Onset
1-3 minutes
Calcium Chloride
Adult Dose
500-1000 mg
may repeat in 10 minutes
Calcium Chloride
Pediatric Dose
0.2 - 0.25 mL/kg of a 10% solution
Calcium Chloride
Special Consideration
-pretreatment to administration of diltiazem
-may cause bradydysrhythmias when patient uses digoxin
Sodium Bicarbonate
Class
alkalizing agent
Sodium Bicarbonate
Supply
prefilled syringe
Sodium Bicarbonate
Mechanism of Action
-buffers excess acid
-increases pH
Sodium Bicarbonate
Indications
-metabolic acidosis in these conditions
(salicyate overdose, tricylcic antidepressant overdose, hyperkalemia, metabolic acidosis, acidosis refractory to effective ventilation, prolonged cardiac arrest)
Sodium Bicarbonate
Contraindication
none in emergency setting
Sodium Bicarbonate
Adverse Reactions
extravasation may cause tissue necrosis
Sodium Bicarbonate
Routes
-IV
-IO
Sodium Bicarbonate
Onset
Immediate
Sodium Bicarbonate
Adult Dose
1.0 mEq/kg
may repeat 0.5 mEq/kg every 10 mins
Sodium Bicarbonate
Pediatric Dose
1.0 mEq/kg
may repeat 0.5 mEq/kg every 10 mins
Sodium Bicarbonate
Special Consideration
drug must be used in conjunction with effective ventilation
