Virtual Drug Bag

CALCIUM CHLORIDE 10%

PACKAGED: 1 gram in 10 ml vial, 100 mg/ml

LOCATION: Main Compartment

INDICATIONS:
Renal dialysis patient in cardiac arrest or  ♦  bradycardia
Calcium Channel Blocker OD
Hydrofluoric Acid exposure with tetany OR cardiac arrest.
Tetany may present as: overactive neurological reflexes, spasms of the hands and feet, cramps, and laryngospasm. 
Prophylactically, after exposure to Hydrofluoric Acid
Crush Syndrome

ADULT: 
Cardiac Arrest, CCB OD and Hydrofluoric Acid exposure with tetany or cardiac arrest: 1 g (10 ml) IV
♦ Renal dialysis patient in bradycardia: 1 g IV

PEDI:
Cardiac Arrest, CCB OD: 20 mg/kg IV (max dose 500 mg in Calcium Channel Blocker OD)

Hydrofluoric Acid Exposure Prophylaxis: 400 mg IV (4 ml)

THERAPEUTIC ACTION:
Antagonizes cardiac toxicity in hyperkalemia associated with dialysis patients. Reverses symptoms of Calcium Channel Blocker

CONTRAINDICATIONS:

PRECAUTIONS AND SIDE EFFECTS:
Bradycardia (may cause asystole), hypotension, metallic taste, severe local necrosis and sloughing following IV infiltration; may produce vasospasm in coronary and cerebral arteries. Hypertension and bradycardia may occur with rapid administration. Do not administer with Sodium Bicarbonate because if the two substances are mixed, a precipitate develops. Flush tubing between drugs.

REQUIRES MCP:

ADULT: Arrest—No
Renal dialysis patient in bradycardia---Yes
Calcium Channel Blocker OD—Yes
Hydrofluoric Acid Exposure—Yes
Prophylaxis—Yes
 
PEDI: Arrest—No
Calcium Channel Blocker OD—Yes