Calcium Chloride Inj
Electrolyte & Combinations · Calcium salt
Indications
Emergency treatment of hypocalcaemic tetany; treatment of hypermagnesaemia; cardiac disturbances of hyperkalaemia; hypocalcaemia or calcium channel blocking agent toxicity.
Dosage
Cardiac arrest in presence of hyperkalaemia or hypocalcaemia, magnesium toxicity, or calcium antagonist toxicity: Infants & Children: 20 mg/kg; may repeat in 10 min if necessary. Adults: 2-4 mg/kg; may repeat in 10 min if necessary. Hypocalcaemia: Infants & Children: 10-20 mg/kg/dose; repeat every 4-6 hr if needed. Adults: 500 mg to 1 gm/dose; every 6 hr. Hypocalcaemia secondary to citrated blood transfusion: Neonates: Give 0.45 mEq elemental calcium for each 100 mL citrated blood infused. Adults: 1.35 mEq elemental calcium for each 100 mL citrated blood transfused. Tetany: Infants & Children: 10 mg/kg over 5-10 min. May repeat 6 hr or follow with an infusion with a max dose of 200 mg/kg/day. Adults: 1 gm over 10-30 min; may repeat after 6 hr.
Administration
Rapid IV injection at a maximum rate of 50 mg/min. For IV infusion dilute to maximum concentration of 20 mg/mL and infuse over 1 hour or no greater than 45-90 mg/kg/hour (0.6-1.2 mEq/kg/hour). Do not use scalp vein or small hand or foot veins for IV administration. Not for endotracheal or IM or SC administration. Compatibility: D5W, NS.
Adverse Effects
Vasodilations, hypotension, bradycardia, cardiac arrhythmias, ventricular fibrillation, syncope. Lethargy, coma. Erythema. Hypomagnesaemia, hypercalciuria. Elevated serum amylase. Tissue necrosis. Muscle weakness.
Risk Factor (Pregnancy/Lactation)
Contraindications: Hypercalcaemia, renal calculi, ventricular fibrillation. Precautions: Digitalized patients, patients with respiratory failure or acidosis, sarcoidosis, renal or cardiac disease.
Interactions
Digitalized patients, verapamil.
Brands with this active ingredient
Compiled by Healify Pharmacy from published drug references. How we compile it →
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