CALCIUM CHLORIDE
Standard Prescription
calcium chloride mg elemental calcium IV ( mg/kg/dose)
or
calcium chloride ___ mmol/kg/day elemental calcium IV infusion
or
calcium chloride ___ mmol/kg/day elemental calcium IV infusion
Dosages
Hypocalcemia, Hyperkalemia, Hypermagnesemia or Calcium Channel Blocker Overdose:
0.2 mL/kg/dose IV/IO (5.4 mg elemental Ca/kg/dose [20 mg Ca chloride/kg/dose])
For cardiac arrest: over 10-20 sec.
For perfusing patients: over 5-10 min.
Repeat dose only for documented calcium deficiency. For calcium channel blocker overdose, if patient is responsive, may repeat dose or follow initial dose with 5.4-13.5 elemental Ca/kg/hr (20-50 mg Ca chloride/kg/hr) infusion, even if not calcium deficient
Maximum: 270 mg elemental Ca/dose (1 g Ca chloride/dose) = 10 mL of 10% solution.
Continuous IV infusion in critical care areas:20-60 mg elemental Ca/kg/24 hr
(74 - 221 mg/kg/24 hr Ca chloride)
0.2 mL/kg/dose IV/IO (5.4 mg elemental Ca/kg/dose [20 mg Ca chloride/kg/dose])
For cardiac arrest: over 10-20 sec.
For perfusing patients: over 5-10 min.
Repeat dose only for documented calcium deficiency. For calcium channel blocker overdose, if patient is responsive, may repeat dose or follow initial dose with 5.4-13.5 elemental Ca/kg/hr (20-50 mg Ca chloride/kg/hr) infusion, even if not calcium deficient
Maximum: 270 mg elemental Ca/dose (1 g Ca chloride/dose) = 10 mL of 10% solution.
Continuous IV infusion in critical care areas:20-60 mg elemental Ca/kg/24 hr
(74 - 221 mg/kg/24 hr Ca chloride)
Mechanism of Action
Calcium replacement
Forms Supplied
injection: 100 mg/mL, 10%, vial 10 mL
PFS: 100 mg/mL, 10%, 10 mL
10% solution contains:
0.68 mmol Ca++ /mL
27 mg elemental Ca++ /mL
PFS: 100 mg/mL, 10%, 10 mL
10% solution contains:
0.68 mmol Ca++ /mL
27 mg elemental Ca++ /mL
Comments
1 gram calcium chloride salt = 270 mg elemental calcium (Ca) = 6.8 mmol elemental Ca.
No benefit has been demonstrated for the use of calcium chloride in cardiac arrest.
Contraindicated in patients with digoxin toxicity.
Preferred to gluconate to correct emergent hypocalcemia.
Flush line following administration.
References
37, 44
Last Edited
2021-11-13 04:49:05