CALCIUM CHLORIDE

CLASS

Electrolyte

MECHANISM OF ACTION (MOA)

Restores or increases calcium levels in the body, which is critical for heart, muscle, and nerve function.

INDICATIONS

Hyperkalemia

Magnesium sulfate overdose

Calcium channel blocker toxicity

Crush syndrome

CONTRAINDICATIONS

Hypercalcimia

V-fib

Digitalis toxicity

ADVERSE REACTIONS

Bradycardia

Asystole

Hypotension

Peripheral vasodilatation

Metallic taste

Local necrosis

Coronary and cerebral artery spasm

Nausea

Vomiting

DOSAGE - ADULT

500-1000 mg of 10% solution slowly IV over 5 minutes; may repeat in 10 minutes. (maximum: 1 gm dose)

DURATION OF ACTION

Onset: 5-15 minutes.

Peak effects: 3-5 minutes.

Duration: 15-30 minutes but may persist for 4 hours (dose dependent).