Calcium Gluconate 10%

Question 1

Indications for Calcium Gluconate

Answer 1

• Suspected hyperkalemia
• Hypocalcemia (eg, after multiple blood transfusions)
• Mag sulfate toxicity (resp depression, hypotension)
• Beta blocker overdose
• Calcium channel blocker overdose

Question 2

Adult: Dosage for Calcium Gluconate (in cardiac arrest with suspected hyperkalemia, hypocalcemia, hypermagnesemia, or bb/ccc overdose).

Answer 2

3g IVP/IO - Repeat only under OLMC direction.

Question 3

Contraindications for Calcium Gluconate

Answer 3

• Hypersensitivity
• Hypercalcemia

Question 4

Pediatric: Dosage for Calcium Gluconate in cardiac arrest with suspected hyperkalemia, hypocalcemia, hypermagnesemia, beta blocker overdose, or calcium channel blocker overdose.

Answer 4

60mg/kg SIVP/IO to a single max dose of 3g
Repeat only under OLMC direction

Avoid extravasation due to high risk of tissue irritation/necrosis. Not recommended in routine treatment of cardiac arrest outside of it’s indications.

Question 5

Adult: Dosage for Calcium Gluconate (hypotensive beta blocker or calcium channel blocker overdose refractory to fluid boluses and glucagon).

Answer 5

3g IV/IO dilute in 50mL normal saline in a buretrol and infuse over 10min using a large bore, well running IV. Repeat only under OLMC direction.

Avoid extravasation due to the risk of tissue irritation/necrosis

Question 6

Pediatric: Dosage for Calcium Gluconate in hypotensive beta blocker or calcium channel blocker overdose refractory to fluid boluses and glucagon.

Answer 6

60mg/kg IV/IO to a single max dose of 3g, dilute in 50mL normal saline in a buretrol and infuse over 10min using a large bore, well running IV. Repeat only under OLMC direction.

**Avoid extravasation due to the risk of tissue irritation/necrosis.