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Calcium Chloride / Gluconate
CLASS:
Electrolyte
replacement – Calcium product
ACTION:
Cation needed for maintenance of nervous, muscul=
ar,
skeletal, enzyme reactions, normal cardiac contractility, and coagulat=
ion
of blood Affects secretory activity of endocrine and exocrine gla=
nds
INDICATIONS:
Hyperkalemia Treatment of hypocalcemia and hypermagne=
semia Calcium channel
blocker toxicity (ie : verapamil ,
diltiazem , nifedipine=
)
CONTRAINDICATIONS:
Digitalis toxic=
ity Hypercalcemia
PRECAUTIONS:
Flush IV line b=
etween
Calcium and Sodium Bicarbonate Extravasation may cause tissue necrosis
SIDE
EFFECTS:
Heart block Hypotension Bradycardia Cardiac arrest<=
o:p> Muscle weakness=
DOSAGE/ROUTE:
Calcium chlorid=
e:
Adult: &=
nbsp; 500
mg – 1 gram IV @ < 1 ml/min Pediatric: 25 mg=
/kg IV
over several minutes
Calcium gluconate :
Adult: &=
nbsp; 0.5
– 2 grams IV @ 0.5 mg/min (10% solution) Pediatric: 200
– 500 mg/day in divided doses Infant: &=
nbsp; <=3D
200 mg
SUPPLIED:
Calcium gluconate : 980 mg
(10% solution) in 10 ml vial
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