Calcium chloride & sodium bicarbonate

Question 1

Calcium Chloride Class:

Answer 1

Electrolyte

Question 2

Calcium Chloride Standard Supply:

Answer 2

Prefilled syringe

Question 3

Calcium Chloride MOA:

Answer 3

-Increases intracellular calcium levels

-Increases myocardial contractility

Question 4

Calcium Chloride Indications:

Answer 4

-Acute hypocalcemia
-Calcium channel blocker overdose
-Beta Blocker overdose
-Hyperkalemia

Question 5

Calcium Chloride Contraindication:

Answer 5

None in emergency setting

Question 6

Calcium Chloride S/E:

Answer 6

-Extravasation may cause tissue necrosis
-Syncope
-Asystole
-Bradycardia
-Dysrhythmias
-Nausea/vomiting

Question 7

Calcium Chloride Routes:

Answer 7

IV
IO

Question 8

Calcium Chloride Onset:

Answer 8

1-3 min

Question 9

Calcium Chloride Adult Dosages:

Answer 9

500-1,000 mg (0.5-1.0 Gm); may repeat dosage in 10 min

Question 10

Calcium Chloride PEDS Dosages:

Answer 10

0.2-0.25 mL/kg of a 10% solution

Question 11

Sodium Bicarbonate Class:

Answer 11

Alkalizing agent

Question 12

Sodium Bicarbonate Standard Supply:

Answer 12

Prefilled syringe

Question 13

Sodium Bicarbonate MOA:

Answer 13

-Buffers excess acid (H+)
-Increases the pH

Question 14

Sodium Bicarbonate Indications:

Answer 14

-Metabolic acidosis in these conditions:
o Salicylate overdose
o Tricyclic antidepressant
overdose
o Hyperkalemia
o Pre-existing/known
metabolic acidosis
o Acidosis refractory to
effective ventilation
o Prolonged cardiac arrest

Question 15

Sodium Bicarbonate Contraindications:

Answer 15

None in emergency setting

Question 16

Sodium Bicarbonate S/E:

Answer 16

Extravasation may cause tissue necrosis

Question 17

Sodium Bicarbonate Routes:

Answer 17

IV
IO

Question 18

Sodium Bicarbonate Onset

Answer 18

Immediate

Question 19

Sodium Bicarbonate Adult Dosages:

Answer 19

1.0 mEq/kg; may repeat dosage 0.5 mEq/kg every 10 min

Question 20

Sodium Bicarbonate PEDS Dosage:

Answer 20

1.0 mEq/kg; may repeat dosage 0.5 mEq/kg every 10 min