NCTI- Pharmacology- Drug List C- Calcium Chloride

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RunNickMarini
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18565
Filename:
NCTI- Pharmacology- Drug List C- Calcium Chloride
Updated:
2010-05-09 23:43:21
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NCTI Pharmacology Drug List Calcium Chloride
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NCTI- Pharmacology- Drug List C- Calcium Chloride
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  1. Calcium Chloride
    trade name
    none
  2. Calcium Chloride
    class
    electrolyte
  3. Calcium Chloride
    mechanism of action
    • 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
  4. Calcium Chloride
    indications
    • Calcium Channel Blocker or Beta blocker overdose
    • Acute hyperkalemia or cardiac arrest when hyperkalemia is suspected
    • Hypocalcemia
    • Suspected hypermagnesemia
  5. Calcium Chloride
    contraindications
    • Digitalis toxicity
    • Hypercalcemia
    • Ventricular fibrillation
  6. Calcium Chloride
    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
  7. Calcium Chloride
    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.
  8. Calcium Chloride
    interactions
    • Do not mix with sodium bicarbonate (forms precipitate crystals in blood)
    • Potentiates the effects of digitalis
    • Antagonizes the effects of calcium channel blockers
  9. Calcium Chloride
    routes
    IV, IO push
  10. Calcium Chloride
    onset and duration
    Onset is immediate with an unknown duration
  11. Calcium Chloride
    dosages
    • Adult:
    • Known or suspected hyperkalemia or Beta Blocker OD: 500-1000 mg slow IV/IO (may repeat in10 minutes). Max single dose 1 gram
    • Calcium channel blocker (prophylaxis):2-4 mg/kg

    Pediatric: 20 mg/kg (0.2ml/kg) slow IV/IO

    Riverside County: not included in the Riverside County protocol
  12. Calcium Chloride
    notes
    Always flush IV after administration of any drug, in particular those that could form a precipitate like sodium bicarbonate.

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