CCP Calcium Gluconate

Question 1

Drug class

Answer 1

Electrolyte

Question 2

Pharmacology

Answer 2

Calcium plays an integral role in the muscular & neural systems. It is involved in skeletal muscle contraction, excitation, coupling in cardiac & smooth muscle, & acts as an intracellular second messenger. These effects combine to exert a positive inotropic effect in the post cardiac arrest pt. Additionally, it has a role in cardiac membrane stabilisation in hyperkalaemia & as an effective treatment of pain & systemic symptoms associated with hydroflouric acid exposure.

Question 3

Indications

Answer 3

• Suspected hyperkalemic cardiac arrest
• Severe hyperkalemia
• Calcium channel blocker toxicity
• Hypotension assoc. with magnesium infusion
• Hydrofluoric acid inhalation
• Following pre-hosp blood transfusion