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Calcium Chloride

QuestionAnswer
Onset and duration Onset is immediate with an unknown duration
Calcium Chloride Classification: Electrolyte
Mechanism of action 1. Necessary for the proper function of the nervous, muscular, skeletal, digestive and endocrine systems 2. Positive Inotropic activity increases the strength of the myocardial contractions 3. Increases ventricular automaticity
Indications 1. Calcium Channel Blocker or Beta blocker overdose 2. Acute hyperkalemia or cardiac arrest when hyperkalemia is suspected 3. Hypocalcemia 4. Suspected hypermagnesemia 5. Crush injury greater than 4 hours
Contraindications 1. Digitalis toxicity 2. Hypercalcemia 3. Ventricular fibrillation
Side Effects Cardiovascular: hypotension, dysrhythmias, cardiac arrest Neurological: syncope, tingling sensations Gastrointestinal: metallic taste Other: sense of heat waves, necrosis/cellulitis upon infiltration of IV
Routes Of Administration IV, IO
Dosages Adult: Known or suspected hyperkalemia or Beta Blocker OD: 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 Pediatric: 20 mg/kg (0.2ml/kg)
Created by: cdodd07
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