Calcium Gluconate

Question 1

Calcium Gluconate Trade Name

Answer 1

(Gluconate) (Not carried by Danbury)

Question 2

Calcium Gluconate Classification

Answer 2

Medscape:
Antidotes; Calcium Salts

Capital:
Electrolyte

Question 3

Calcium Gluconate Mechanism

Answer 3

Medscape:
Bone mineral component; cofoactor in enzymatic reactions, essential for neurotransmission, muscle contraction, and many signal transduction pathways

Capital:
Provides elemental calcium to cause a significant increase in inotropic force and ventricular automaticity.

Question 4

Calcium Gluconate Onset of Action

Answer 4

Capital:
Immediate

Question 5

Calcium Gluconate Duration of Action

Answer 5

Capital:
Duration: 30 minutes to 2 hours

Question 6

Calcium Gluconate Indications

Answer 6

CT Protocols:
Moderate to severe hyperkalemia
Calcium channel blocker (CCB) overdose

Capital:
Hypocalcemia, Hyperkalemia, Hypermagnesemia, Beta-blocker toxicity, Calcium channel blocker toxicity

Question 7

Calcium Gluconate Contraindications

Answer 7

CT Protocols:
Hypersensitivity
Capital:
Hypercalcemia, VF, Digitalis toxicity

Question 8

Calcium Gluconate Side Effects/ Precautions/ Comments

Answer 8

Capital:
Dysrhythmia, Bradycardia, Hypotension, Vascular spasm, Peripheral vasodilation,
Syncope

Question 9

Calcium Gluconate Adult Dose

Answer 9

2 gm IV/IO over 5-10 minutes

CT Protocols:
Bradycardia with suspected hyperkalemia or CCB OD
2 gm IV/IO over 5-10 minutes with constant cardiac monitoring
Cardiac arrest with suspected hyperkalemia
2 gm IV/IO
Hyperkalemia
2 gm IV/IO over 5 minutes, May repeat once after 5 Min.

Question 10

Calcium Gluconate Pediatric Dose

Answer 10

Capital:
60-100 mg/kg (max 1,000 mg) over 5-10 minutes repeated in 10 minutes

Question 11

Calcium Gluconate
Max Dose Adult (Pediatric)

Answer 11

4gm (1gm)

Question 12

Calcium Gluconate Routes of Administration

Answer 12

IV/IO

Question 13

Calcium Gluconate How Supplied

Answer 13

100mg/ml (10% solution) ampules, vials, and prefilled syringes