CALCIUM CHLORIDE (10% CaCl2)

Class

• Electrolyte

CALCIUM CHLORIDE (10% CaCl2)

Action

• Increases mycardial contractility
• Enhances ventricular automaticity
• Reverces cardio-electric changes produced by hyperkalemia
• Shifts potassium back into cells to pervent intravascular hyperkalemia

CALCIUM CHLORIDE (10% CaCl2)

Onset

CALCIUM CHLORIDE (10% CaCl2)

Duration

CALCIUM CHLORIDE (10% CaCl2)

Indication / dosage & route

Hemodialysis patient (S-131)

INDICATION

Hemodialysis Patient (S-131)

- symptomatic, ?hyperkalemia if ≥72 hours since last dialysis

DOSAGE/ROUTE

250mg IV/IO

CALCIUM CHLORIDE (10% CaCl2)

Indication / dosage & route

Truma (S-139)

INDICATION

Trauma (S-139)

- crush injury of extremity or torso with extended entrapment ≥ 2 hours just prior to extremity being released

DOSAGE / ROUTE

250mg IV/IO over 30 seconds BHO

CALCIUM CHLORIDE (10% CaCl2)

Contraindications

• None

CALCIUM CHLORIDE (10% CaCl2)

• Decresed heart rate (may create asystole)
• Hypotension
• Syncope
• Nasuea / Vommiting
• Metallic taste

CALCIUM CHLORIDE (10% CaCl2)

CALCIUM CHLORIDE (10% CaCl2)

1. Tissue necrossis occurs with infiltration; Check IV patency before and during administration watching for signs of infiltration; if this occurs, discontinue the IV, circle infiltrated area and inform receiving hospital.
2. Precipates if mixed with NaHCO3, flush tubing between administration of drugs.
3. Calcium is used in crush injury to reverse the effects of hyperkalemia associated with muscle cell damage.
4. For suspected hyperkalemia patients: a 12 lead EKG should be obtained.
5. In dialysis patients: Give with Albuterol and NaHCO3.
6. In crush injury patients: Give slow IV (over 30 sec) after start of fluids.  Flush CaCl thoroughly from IV line prior to NaHCO3.