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    Calcium Gluconate 10% Emergency Medication

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    Rafiq Esufzae
    Calcium gluconate 10% is an emergency medication used as a calcium supplement. It can be administered intravenously to treat conditions like hypocalcemia, fluoride or lead poisoning, and cardiac resuscitation. When administering intravenously, it should be diluted and given at a rate no faster than 2ml per minute to avoid side effects like hypotension and arrhythmia. Special precautions should be taken in patients with renal impairment, during pregnancy, and when administering with other drugs due to incompatibility issues.

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    Calcium Gluconate 10% Emergency Medication

    Uploaded by

    Rafiq Esufzae
    113 views2 pages
    Calcium gluconate 10% is an emergency medication used as a calcium supplement. It can be administered intravenously to treat conditions like hypocalcemia, fluoride or lead poisoning, and cardiac resuscitation. When administering intravenously, it should be diluted and given at a rate no faster than 2ml per minute to avoid side effects like hypotension and arrhythmia. Special precautions should be taken in patients with renal impairment, during pregnancy, and when administering with other drugs due to incompatibility issues.

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    Calcium gluconate 10%

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    Calcium gluconate 10% is an emergency medication used as a calcium supplement. It can be administered intravenously to treat conditions like hypocalcemia, fluoride or lead poisoning, and cardiac resuscitation. When administering intravenously, it should be diluted and given at a rate no faster than 2ml per minute to avoid side effects like hypotension and arrhythmia. Special precautions should be taken in patients with renal impairment, during pregnancy, and when administering with other drugs due to incompatibility issues.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    113 views2 pages

    Calcium Gluconate 10% Emergency Medication

    Uploaded by

    Rafiq Esufzae
    Calcium gluconate 10% is an emergency medication used as a calcium supplement. It can be administered intravenously to treat conditions like hypocalcemia, fluoride or lead poisoning, and cardiac resuscitation. When administering intravenously, it should be diluted and given at a rate no faster than 2ml per minute to avoid side effects like hypotension and arrhythmia. Special precautions should be taken in patients with renal impairment, during pregnancy, and when administering with other drugs due to incompatibility issues.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Department of Medicine, MTI, Khyber Teaching Hospital

    Adult IV Medication Monograph

    Calcium Gluconate 10%


    Emergency medication
    Drug Class Calcium supplement
    Available dosage form Injection form - 10ml (Calcium Gluconate – 10%)

    Usual Dosing 1. Acute hypocalcaemia: 10-20ml (2.2-4.4mmol)


    2. Fluoride or lead poisoning: 0.3ml/kg (0.07mmol/kg)
    3. Cardiac resuscitation: 7-15ml (1.54-3.3mmol).

    Dilution & Preparation 1. Calcium Gluconate Injection can be diluted with glucose 5% or
    sodium chloride 0.9%.

    2. It should not be administered at dose more than 2ml/min (10%


    calcium gluconate) .

    3. For continuous intravenous infusion, dilute 100 mL of calcium


    gluconate 10% in 1 litre of glucose 5% or sodium chloride
    0.9% and give at an initial rate of 50 mL/hour adjusted
    according to response.

    Administration Intravenous

    Dosage adjustment Renal impairement: Use with caution.

    Incompatibility 1. Calcium salts can form complexes with many drugs like
    amphotericin, ceftriaxone, dobutamine hydrochloride,
    prochlorperazine, and tetracyclines.
    2. Dilution into a solution containing bicarbonate, phosphate or
    sulfate should be avoided.

    Monitoring Monitoring should include heart rate or ECG.


    Contraindications & Contraindications:
    1. Hypersensitivity
    Precautions
    2. Patients with severe renal failure;
    3. Patients with hypercalcemia.
    4. Patients receiving cardiac glycosides.
    5. Co-administration with ceftriaxone.
    6. Repeated or prolonged treatment, including as an intravenous
    infusion, in those with impaired renal function.

    Precautions:
    1. In patients receiving ceftriaxone, it can be administered
    sequentially one after another if infusion lines at different sites
    are used to avoid precipitation.
    2. It should be administered slowly to minimise peripheral
    vasodilation and cardiac depression.
    3. The infusion site must be monitored regularly to ensure
    extravasation injury has not occurred.
    Department of Medicine, MTI, Khyber Teaching Hospital
    Adult IV Medication Monograph

    4. Calcium may antagonise the effect of calcium antagonists


    (calcium channel blockers).
    Clinical considerations 1. Hypocalcemic tetany
    2. Cardiac resuscitation
    3. Acute colic of lead poisoning
    4. Acute fluoride poisoning
    5. Prevention of hypocalcemia after mass transfusion/exchange
    transfusion.
    Adverse Effects They are mostly because of intravenous overdose or too rapid
    intravenous injection.
    1. Bradycardia, cardiac arrhythmia.
    2. Hypotension, vasodilatation, circulatory collapse (possibly
    fatal), flushing, mainly after too rapid injection.
    3. Nausea, vomiting.
    4. Heat sensations, sweating.
    5. Calcinosis cutis. Reddening of skin, burning sensation or pain
    during intravenous injection may indicate accidental
    perivascular injection, which may lead to tissue necrosis.

    Pregnancy and Breast 1. Calcium Gluconate Injection BP should not be used during
    pregnancy unless clearly indicated.
    Feeding
    2. The administered dose should be carefully calculated, as
    hypercalcemia may be deletrorious for the fetus.
    3. Calcium is excreted in breast milk. A decision must be made
    whether to discontinue breast-feeding or to discontinue/abstain
    from Calcium Gluconate Injection BP therapy taking into
    account the benefit of breast feeding for the child and the
    benefit of therapy for the woman.

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