Calcium Chloride

Question 1

Generic and brand name of Calcium Chloride….

Answer 1

… is the same: Calcium Chloride.

Question 2

Drug class of Calcium Chloride

Answer 2

Electrolyte (anion)

Question 3

Calcium Chloride’s mechanism of action.

Answer 3

Increases cardiac contractility (+inotrope). Enhances ventricular automaticity. Stabilizes cardiac myocyte cell membrane. Combats Magnesium Toxicity

Question 4

Indications for Calcium Chloride.

Answer 4

Hypocalcemia,Hyperkalemia, 
 Magnesium Toxicity (hypermagnesemia), Beta blocker and Calcium channel blocker overdoses

Question 5

Contraindication for Calcium Chloride.

Answer 5

Hypercalcemia, Ventricular fibrillation, Digitalis toxicity

Question 6

Adverse effects of Calcium Chloride

Answer 6

Syncope, cardiac arrest (asystole), dysrhythmia, bradycardia, hypotension, peripheral vasodilation, nausea & vomiting, metallic taste, tissue necrosis (injection site), coronary & cerebral artery spasm.

Question 7

Precautions of Calcium Chloride

Answer 7

May worsen digitalis toxicity, antagonizes effects of calcium channel blockers.

Question 8

What is a major no-no with Calcium Chloride

Answer 8

Do NOT mix with sodium Bicarbonate in the same line

Question 9

Adult dose and admin of Calcium Chloride

Answer 9

500mg – 1000 mg IVP. May repeat as needed.

Question 10

Pediatric dose and admin of Calcium Chloride

Answer 10

20 mg/kg slow IV/IO push maximum dose 1 gram; may repeat in 10mins