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calcium chloride
Indications:
1) cardiac resuscitation: 2-4 mg/kg every 10 min
2) cardiac arrest secondary to hyperkalemia
- 2-4 mg/kg every 10 min
3) hypocalcemia:
a) 500 mg - 1 g every 1-3 days as needed
b) hypocalcemic tetany: 4.5-16 meq until response
4) treatment of hypermagnesemia
5) toxicity from Ca+2 channel blockers
Contraindications:
Do NOT:
1) administer SC or IM
2) administer in same line as phosphate-containing solutions
pregnancy-category :value +
safety-in-lactation :value ?
Dosage:
Injection: 100 mg/mL. 10 mL ampules & syringes.
Pharmacokinetics:
- eliminated mainly in the feces, 20% eliminated in the urine
Monitor: EKG if infused > 2.5 meq/min
Adverse effects:
- uncommon (< 1%)
1) vasodilation
2) hypotension
3) bradycardia
4) arrhythmias including ventricular fibrillation
5) coma
6) mania
7) erythema
8) tissue necrosis
9) muscle weakness
10) syncope
11) CNS depression including lethargy & coma
12) increased serum amylase
13) decreased serum Mg+2
14) hypercalcemia
15) hypercalciuria
16) extravasation:
- treat with hyaluronidase: 15 units/mL, 1mL
Drug interactions:
1) may antagonize effects of calcium channel blockers
2) may increase digoxin toxicity
Mechanism of action:
- moderates nerve conduction & muscle contraction via action potential excitation threshold regulation
Interactions
drug adverse effects of calclium supplement(s)
Related
Hylenex (Wydase, Amphadase, Vitrase, Hydase, hyaluronidase)
General
calcium supplement
salt
metabolic agent (metabolic modifier)
Database Correlations
PUBCHEM correlations
References
- Drug Information & Medication Formulary, Veterans Affairs,
Central California Health Care System, 1st ed., Ravnan et al
eds, 1998
- Kaiser Permanente Northern California Regional Drug
Formulary, 1998
- Deprecated Reference
- Department of Veterans Affairs, VA National Formulary
Component-of
alanine/arginine/aspartate/calcium chloride/glucose/glutamate/glycine/histidine/isoleucine/leucine/lysine/magnesium chloride/methionine/phenylalanine/potassium chloride/potassium phosphate/proline/serine/sodium chloride/threonine/tryptophan/tyrosine/valine
alanine/arginine/calcium chloride/glucose/glycine/histidine/isoleucine/leucine/lysine/magnesium chloride/methionine/phenylalanine/potassium phosphate/proline/serine/sodium acetate/sodium chloride/threonine/tryptophan/tyrosine/valine
alanine/arginine/calcium chloride/glucose/glycine/histidine/isoleucine/leucine/magnesium chloride/methionine/phenylalanine/potassium phosphate/proline/serine/sodium acetate/sodium chloride/threonine/tryptophan/tyrosine/valine
calcium chloride/citrate/magnesium chloride/potassium chloride/sodium acetate/sodium chloride
calcium chloride/fibrinogen/fibrinolytic inhibitor/thrombin
calcium chloride/glucose/lactate/magnesium chloride/sodium chloride
calcium chloride/glucose/lactate/potassium chloride/sodium chloride
calcium chloride/glucose/magnesium chloride/potassium chloride/sodium acetate/sodium chloride/sodium lactate
calcium chloride/glucose/magnesium chloride/potassium chloride/sodium bicarbonate/sodium chloride/sodium phosphate
calcium chloride/glucose/magnesium chloride/sodium chloride/sodium lactate
calcium chloride/glucose/magnesium sulfate/potassium chloride/sodium bicarbonate/sodium chloride/sodium phosphate
calcium chloride/glucose/potassium chloride/sodium chloride
calcium chloride/lactate/magnesium chloride/potassium chloride/sodium acetate/sodium chloride
calcium chloride/lactate/potassium chloride/sodium chloride
calcium chloride/magnesium chloride/potassium acetate/sodium acetate/sodium chloride
calcium chloride/magnesium chloride/potassium chloride/sodium acetate/sodium chloride
calcium chloride/magnesium chloride/sodium chloride/sodium lactate
calcium chloride/potassium chloride/sodium chloride
Elliotts B Solution (buffered intrathecal electrolyte/dextrose injection)