calcium_chloride-calcium_gluconate.txt

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Author:
papeirce
ID:
86592
Filename:
calcium_chloride-calcium_gluconate.txt
Updated:
2011-05-18 15:30:59
Tags:
paramedic medications drugs prehospital calcium chloride gluconate
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Description:
Prehospital Medication Flashcards for Paramedic School - Massachusetts and Rhode Island
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  1. Calcium Chloride/Calcium Gluconate

    Trade Name
    Calcium
  2. Calcium Chloride/Calcium Gluconate

    Class
    Electrolyte
  3. Calcium Chloride/Calcium Gluconate

    Mechanism of Action
    • Increases cardiac contractile state (positive inotropic effect)
    • May enhance ventricular automaticity
  4. Calcium Chloride/Calcium Gluconate

    Indications
    • Hypocalcemia
    • Magnesium Sulfate Overdose
    • Hyperkalemia
    • Calcium Channel Blocker Toxicity.
    • Adjunctive therapy in treatment of insect bites & stings
  5. Calcium Chloride/Calcium Gluconate

    Contraindications
    • Hypercalcemia
    • VF during cardiac resuscitation
    • Digitalis Toxicity
  6. Calcium Chloride/Calcium Gluconate

    Adverse Reactions
    • Bradycardia
    • Asystole
    • Hypotension
    • Peripheral Vasodilation
    • Metallic Taste
    • Local Necrosis
    • Coronary & Cerebral Artery Spasm
    • Nausea/Vomiting
  7. Calcium Chloride/Calcium Gluconate

    Drug Interactions
    • May worsen dysrhythmias secondary to digitalis
    • May antagonize effects of Verapamil
    • Flush line before and after administration of sodium bicarbonate
  8. Calcium Chloride/Calcium Gluconate

    How Supplied
    10% solution in 10 ml ampules, vials and prefilled syringes (100 mg/ml)
  9. Calcium Chloride/Calcium Gluconate

    Dosage and Administration
    Adult
    2-4 mg/kg of 10% solution slowly IV over 5 minutes; may repeat in 10 minutes (maximum: 1 gm dose)
  10. Calcium Chloride/Calcium Gluconate

    Dosage and Administration
    Pediatric
    20 mg/kg/dose of 10% solution slow IV/ IO (maximum: 1 gm dose); (may repeat in 10 minutes.)
  11. Calcium Chloride/Calcium Gluconate

    Duration of Action
    • Onset: 5-15 minutes.
    • Peak effects: 3-5 minutes.
    • Duration: 15-30 minutes but may persist for 4 hours (dose dependent)
  12. Calcium Chloride/Calcium Gluconate

    Special Considerations
    • Pregnancy safety: Category C.
    • For pediatrics: if calcium gluconate is unavailable, 1-2
    • ml of 10% calcium chloride solution, diluted with IV

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