Calcium Gluconate 10%

Question 1

Indications for Calcium Gluconate

Answer 1

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

Question 2

Adult: Dosage for Calcium Gluconate

Answer 2

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

Question 3

Contraindications for Calcium Gluconate

Answer 3

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

Question 4

Pediatric: Dosage for Calcium Gluconate 10%

Answer 4

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