Calcium Gluconate

Question 1

Calcium Gluconate
Type?

Answer 1

Electrolyte

Question 2

Calcium Gluconate
Action?

Answer 2

Antagonises the effect of hyperkalaemia on the heart

Question 3

Calcium Gluconate
Route Onset Peak Duration
IV

Answer 3

Calcium Gluconate
Route Onset Peak Duration
IV 30sec n/a 30min-2hrs

Question 4

Calcium Gluconate
Uses?

Answer 4

C9 - Hyperkalaemia

Question 5

Calcium Gluconate
Adverse Effects? 3

Answer 5

May increase myocardial and cerebral damage by increasing intracellular calcium levels

Tissue necrosis if extravasation from vein occurs

Dysrhythmias

Question 6

Calcium Gluconate
Contraindications?

Answer 6

Nil For NSWAS

Question 7

Calcium Gluconate
Notes 2

Answer 7

Sodium bicarbonate and calcium gluconate precipitate when mixed. Flush the line between
administration of these medications

Visually examine each vial of calcium gluconate injection prior to administration to check for precipitate

Question 8

Calcium Gluconate
Adult Dose
(16 and over)

Answer 8

IV 1g over 2 minutes
Repeat 5 mins
Max total 3g

Question 9

Calcium Gluconate
Paed Dose
(under 16)

Answer 9

IV/IO 70mg/kg over 2 minutes (Max bolus 1g)
Repeat 5 mins
Max Total 210mg/kg or 3g (whichever is less)