Calcium Chloride 10% Flashcards Preview

Yomata Drugs > Calcium Chloride 10% > Flashcards

Flashcards in Calcium Chloride 10% Deck (13):
1

Trade name

Calcium Chloride

2

Class

Electrolyte

3

Mechanism of Action

Increases cardiac contractile state (positive inotropic effect)

4

Indications

Acute hyperkalemia (elevated potassium), acute hypocalcemia (decreased Calcium), Calcium channel blocker (nifedipine, verapamil, etc.)

5

Contraindications

Current digoxin therapy; Hypercalcemia; Hypersensitivity

6

Adverse effects

Bradycardia/ asystole arrest, hypotension, severe tissue necrosis if the is solution extravasation

7

Incompatabilitie/ Drug interactions

all drugs - flush line before adminstration

8

Routs of administration

Slow IV/IO over 2-3 minutes, ECG monitor recommended.

9

Onset of action

Within seconds; peak effect 3-5 minutes; duration of 15-30 minutes

10

Adult dose

Hypocalcemia, calcium channel blocker OD, hyperkalemia and hypermagnesemia -
Calcium Choride 10% 10ml slow IV/IO over 2-3 minutes
Flush line before admin
May repeat in 10 min

Pretreat for IV/IO calcium channel blocker administration
300mg slow IV/IO
May repeat once

11

Pediatric dose

Hypocalcemia, calcium channel blocker OD, hyperkalemia and hypermagnesemia

Calcium Chloride 10% 20mg/kg slow IV/IO over 2-3 min
Repeat in 10 min if clinical indication persists (calcium channel blocker OD)
Max 1gm dose

12

Special considerations

Calcium Chloride is not recommended in patients with suspected digitalis toxicity

Use of smaller doses with patients taking Digitoxin, due to it possibly causing cardiac irritability

Rapid administration may cause bradycardia and hypotension; monitor blood pressure, heart rate and EKG

13

Protocols used

A-8 Asystole/PEA
A-22 Overdose
A-26 Special considerations in renal PTS
C-7 Acute Crush injuries