F - 11 - Calcium Chloride

Question 1

Hypermagnesemia manifests itself in the pre-hospital realm as a decrease in _____.

Answer 1

Deep tendon reflexes (DTRs)

Question 2

For the hyperkalemic cardiac arrest, _____ of calcium chloride is administered over two minutes.

Answer 2

1 gm

Question 3

For the hypermagnesemia patient with AMS, _____ of calcium chloride is given over 5 minutes.

Answer 3

500 mg

Question 4

For the patient with calcium channel blocker overdose, ____ of calcium chloride is given over 5 minutes.

Answer 4

1 gm

Question 5

Admininstration of calcium chloride with _____ may result in arrhythmias.

Answer 5

Digoxin (increases blood calcium levels to an unsafe, pro-arrhythmic level)

Question 6

Calcium chloride acts primarily to increase the availability of _____.

Answer 6

Free calcium in blood

Question 7

Common side effects of calcium chloride admininstration.

Answer 7

• Nausea/vomiting

- Flushing of skin

Question 8

Extravasation of calcium chloride may result in _____.

Answer 8

tissue necrosis

Question 9

Rapid injection of calcium chloride may result in _____.

Answer 9

hypotension, bradycardia, arrhythmias, and cardiac arrest.

Question 10

How are the cardiovascular side effects of calcium chloride injection overcome in non-arrest situations?

Answer 10

Add the appropriate dose of calcium chloride to a 150 cc bag of NS and run it over the specified time.

Question 11

Dose of calcium chloride.

Answer 11

20 mg/kg IV