calcium chloride

Question 1

Indications

Answer 1

• Release syndrome following crush injury in adults.
• Suspected hyperkalaemia with severe ECG changes.
• Cardiac arrest secondary to hyperkalaemia.

Question 2

Contraindication and cautions

Answer 2

Contraindications
A Known severe allergy.

Cautions
A None.

Question 3

Action

Answer 3

Calcium is the active ingredient in calcium chloride. Calcium is a mineral that is essential for a number of normal body functions including cell membrane function, enzyme reactions, transmission of nerve impulses, cardiac electrophysiology, contraction of
cardiac and skeletal muscle, and coagulation.

Calcium raises the cardiac action potential threshold and protects cardiac cell membranes from the
effects of hyperkalaemia, resulting in a reduction in dysrhythmias associated with hyperkalaemia.

Question 4

Route

Answer 4

IV / IO
Into running line over 1 minute
Bolus for CA
requires at least 50ml flush

Question 5

Dosage

Answer 5

6.8 mmol (1g) can repeat 20 minutes, 10 minutes of CA

Question 6

Side effects

Answer 6

-Venous irritation including redness and pain at the site of injection.
- Tingling sensation.
- Rapid administration may cause dysrhythmias.