Calcium Gluconate 10%

Question 1

Generic name for Calcium Gluconate

Answer 1

Calcium Gluconate 10%

Question 2

Trade name for Calcium Gluconate 10%

Answer 2

Calcium Gluconate

Question 3

Classification for Calcium Gluconate

Answer 3

calcium supplement

Question 4

MOA (Pharmacodynamics) for Calcium Gluconate

Answer 4

• Needed for maintenance of nervous, muscular, skeletal systems, enzyme reactions, normal cardiac contractility and blood coagulation.
• Affects secretory activity of endocrine and exocrine glands

Question 5

Indications for Calcium Gluconate

Answer 5

• Hyperkalemia
• Calcium channel blocker OD (treats the hypotension/antidote)
• Ionized hypocalcemia (eg, after multiple blood transfusions)
• Magnesium sulfate toxicity (respiratory depression, hypotension)

Question 6

Adult: Dosage for Calcium Gluconate

Answer 6

Adult: 1000 to 2000mg (10% solution), very SIVP/IO (tissue necrosis possible). Total max 4g.

Question 7

Contraindications for Calcium Gluconate

Answer 7

• Hypercalcemia
• Digitalis toxicity
• Renal calculi
• Ventricular Fibrillation (except in the setting of suspected hyperkalemia)

Question 8

Precautions for Calcium Gluconate

Answer 8

NOTE Calcium chloride is 3 times as potent as Calcium gluconate**

DO NOT administer with Sodium Bicarbonate as precipitate will form

Not recommended for routine treatment in cardiac arrest outside of hyperkalemia, hypocalcemia or hypermagnesemia

• Higher doses may be required for calcium channel blocker overdoses
• Monitor ECG and BP
• Give slowly, stop if patient complains of discomfort
• Peripheral venous administration is preferred.
• After IV injection patient should be recumbent

Question 9

Pediatric: Dosage for Calcium Gluconate 10%

Answer 9

Pediatric: 5 - 7 mg/kg IV/IO (10% solution) to a single max 1000mg, q 5-10 min. Total max 3g.