Calcium Chloride Flashcards
Calcium Chloride- Name
Calcium Chloride
Calcium Chloride- Class
Electrolyte
Calcium Chloride- MoA
Necessary for the proper function of the nervous, muscular, skeletal, digestive and endocrine systems
Positive inotropic activity increases the strength of the myocardial contractions Increases ventricular automaticity
Calcium Chloride- Indication
Calcium Channel Blocker or Beta blocker overdose
Acute hyperkalemia or cardiac arrest when hyperkalemia is suspected
Hypocalcemia
Suspected hypermagnesemia with respiratory depression
Crush syndrome
Calcium Chloride- Contra
Digitalis toxicity
Hypercalcemia
Ventricular fibrillation
Calcium Chloride- S/E
Cardiovascular: hypotension, dysrhythmias, cardiac arrest
Neurological: syncope, tingling sensations
Gastrointestinal: metallic taste
Other: sense of heat waves, necrosis/cellulitis upon infiltration of IV
Calcium Chloride- Routes
IV, IO, IVPB
Calcium Chloride- A. Dose
Known or suspected hyperkalemia or Beta Blocker OD, cardiac arrests:
500 mg to 1 gm IVP/IO
over 5-10 minutes (may repeat every 10 minutes prn). Repeat as clinically indicated
Calcium channel blocker (prophylaxis):
2-4 mg/kg
Calcium Chloride- P. Dose
20 mg/kg (0.2ml/kg)
slow IVP/IO (no faster than 100mg/min).
Repeat as clinically indicated
Calcium Chloride- EXTRAs
Precautions: Use with caution in patients with renal insufficiency or history of cardiac disease
May cause cerebral or coronary vasospasm
Can cause bradycardia if administration is too rapid
Safe use in children, pregnant mothers or nursing mothers has not been established.
Interactions: Do not mix with sodium bicarbonate (forms precipitate crystals in blood)
Potentiates the effects of digitalis
Antagonizes the effects of calcium channel blockers
Onset is immediate with an unknown duration
Always flush IV after administration of any drug, in particular those that could form a precipitate.
