Calcium Gluconate

Question 1

Brand Name

Answer 1

Calcium Gluconate

Question 2

Drug Class

Answer 2

Electrolyte

Question 3

Mechanism of Action

Answer 3

Increases extracellular calcium levels
Stabilizes cardiac myocyte during hyperkalemia
Counteracts magnesium toxicity
Replaces calcium hydroflouric acid burns

Question 4

Indications

Answer 4

Calcium channel blocker and beta blocker OD’s, hyperkalemia, hypocalcemia, magnesium toxicity, HFL burns

Question 5

Contraindications

Answer 5

V-fib, digitalis toxicity, hypercalcemia

Question 6

Adverse Effects

Answer 6

Syncope, dysrhythmias, bradycardia, hypotension, N/V, metallic taste, tissue necrosis if extravasation occurs, coronary and cerebral artery spasm

Question 7

Precautions

Answer 7

May increase dysrhythmias in digitalis toxicity
Antagonizes calcium channel blockers
Does not mix with sodium bicarb in same IV line

Question 8

Dose and Administration

Answer 8

Hyperkalemia: 0.5-1.0g slow IVP max 3g

Beta blocker and calcium channel blocker OD:3-6g slow IVP followed by continuous infusion