Virtual Drug Bag
 |
CALCIUM GLUCONATE |
PACKAGED: 1 gram in 10 ml vial, 100 mg/ml
LOCATION: Not in drug bag, JITSO
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
ADULT:
Cardiac Arrest, CCB OD and Hydrofluoric Acid exposure with tetany or cardiac arrest: 1 g (10 ml) IV
Hydrofluoric Acid Exposure Prophylaxis: 400 mg IV (4 ml)
PEDI:
Cardiac Arrest & OD: 20 mg/kg IV (max dose 500 mg in Calcium Channel Blocker OD)
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
Calcium Channel Blocker OD—Yes
Renal dialysis patient in bradycardia - Yes
Hydrofluoric Acid Exposure—Yes
Prophylaxis—Yes
PEDI: Arrest—No
Calcium Channel Blocker OD—Yes