Calcium Gluconate (203)

Question 1

What type of medication is Calcium Gluconate?

Answer 1

An electrolyte

Question 2

What is the action of Calcium Gluconate?

Answer 2

• Antagonises the effect of hyperkalaemia on the heart

Question 3

What is/are the indications for Calcium Gluconate?

Answer 3

• C9: Hyperkalaemia

Question 4

What is the preparation of Calcium Gluconate, and are there any special conditions?

Answer 4

• 1g/2.2mmol in 10mL ampoule.
• Sodium Bicarbonate and Calcium Gluconate precipitate when mixed; flush the line between administration of these medications.
• Each vial must be visually examined prior to administration. It should not be used if precipitate is present or solution is not clear.
• This injection is a supersaturated solution and may precipitate at low temperatures.

Question 5

What is the dose, repeat, and max of Calcium Gluconate for Patients aged >=16yo?

Answer 5

1g (10mL) IV over 2 minutes, no repeat, max 1 dose.

Question 6

What is the dose, repeat, and max of Calcium Gluconate for Patients aged <16yo?

Answer 6

20mg/kg (0.2mL/kg) IV/IO over 2 minutes, no repeat, max bolus 1g (10mL), 1 dose max.

Question 7

What are the adverse effects of Calcium Gluconate?

Answer 7

• May increase myocardial and cerebral damage by increasing intracellular calcium levels
• Tissue necrosis if extravasation from vein occurs
• Dysrhythmias