Calcium chloride 10%

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Author:
texasaggie324
ID:
23408
Filename:
Calcium chloride 10%
Updated:
2010-06-13 20:50:08
Tags:
drugs drug medication medications med meds nremt paramedic medical calcium chloride ten percent
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Calcium chloride 10% details
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  1. Calcium chloride 10% - Generic name:
    Calcium chloride 10%
  2. Calcium chloride 10% - Trade name:
    Calcium chloride 10%
  3. Calcium chloride 10% - Class:
    Electrolyte
  4. Calcium chloride 10% - Actions:
    Increases cardiac contractility
  5. Calcium chloride 10% - Indications
    • 1) Acute hyperkalemia
    • 2) Acute hypocalcemia
    • 3) Calcium channel blocker (Nifedipine, Verapamil) overdose
    • 4) Antidote to magnesium sulfate overdose
    • 5) Abdominal spasms associated with spider bite or Portuguese Man-O-War stings
  6. Calcium chloride 10% - Contraindications:
    Patients receiving digitalis (can result in sudden cardiac death from v-fib)
  7. Calcium chloride 10% - Precautions:
    • 1) extravasation may cause tissue necrosis
    • 2) Precipitates with sodium bicarbonate to form calcium carbonate (chalk) - if needed to give, then flush tubing very well between each
    • 3) Slow IV push (rapid push can cause v-fib)
  8. Calcium chloride 10% - Side effects:
    • 1) arrhythmias (bradycardia, asystole, v-fib)
    • 2) Hypotension and vasodilation
    • 3) Nausea and vomiting
    • 4) Extravasation causes tissue necrosis
    • 5) Coronary and cerebral artery spasm
    • 6) Metallic or chalky taste in mouth
  9. Calcium chloride 10% - Adult dosage:
    1) 2 - 4 mg / kg of 10% solution over 5 minutes repeated every 10 minutes
  10. Calcium chloride 10% - Route:
    IV
  11. Calcium chloride 10% - How supplied:
    • Prefilled syringe: 1 gm / 10 mL
    • (1m mL of 10% solution: 13.6 mEq Ca++)
  12. Calcium chloride 10% - Pediatric dosage:
    • Not indicated in newborns
    • 20 mg / kg IV or IO slowly. Max dose is 500 mg.

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