Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
44 Cards in this Set
- Front
- Back
|
Generic |
Calcium Chloride |
|
|
Trade |
Calcium Chloride |
|
|
Class |
Electrolyte (anion) |
|
|
Mechanism of Action |
Rapidly and effectively restores calcium |
|
|
Mechanism of Action |
Provides excess chloride ions that cause acidosis and diuresis |
|
|
Mechanism of Action |
Increases cardiac contractile state (positive inotropic effect) |
|
|
Mechanism of Action |
May enhance ventricular automaticity |
|
|
Indications |
Hypocalcemia |
|
|
Indications |
Severe hyperkalemia |
|
|
Indications |
Hypermagnesemia |
|
|
Indications |
Beta-blocker overdose |
|
|
Indications |
Calcium channel blocker toxicity |
|
|
Contraindications |
V-fib in cardiac resuscitation |
|
|
Contraindications |
Hypercalcemia |
|
|
Contraindications |
Digitalis toxicity |
|
|
Side effects |
Syncope |
|
|
Side effects |
Tingling |
|
|
Side effects |
Peripheral vasodilation |
|
|
Side effects |
Hypotension |
|
|
Side effects |
N/V |
|
|
Side effects |
Dysrhythmias |
|
|
Side effects |
Bradycardia |
|
|
Side effects |
Cardiac arrest |
|
|
Side effects |
Hypercalcemia |
|
|
Side effects |
Coronary and cerebral artery spasm |
|
|
Side effects |
Metallic taste |
|
|
Adult dose |
One amp of 10% calcium chloride contains 1g/10mL (100mg/mL) |
|
|
Adult dose |
Calcium channel blocker OD and hyperkalemia: 500-1000mg (5-10mL of a 10% solution) |
|
|
Adult dose |
Slow IV push not to exceed 1mL/min |
|
|
Adult dose |
May repeat as needed |
|
|
Peds dose |
Calcium channel blocker OD and hyperkalemia: 20mg/kg (0.2mL/kg) IV or IO slowly |
|
|
Peds dose |
Max: 1 gram dose |
|
|
Peds dose |
May repeat in 10 minutes |
|
|
Drug interactions |
May cause severe bradycardia in patient's taking digitalis |
|
|
Drug interactions |
Potentiated by thiazide diuretics |
|
|
Drug interactions |
May antagonize the effects of calcium channel blockers |
|
|
Drug interactions |
Incompatible with most all medications; flush IV/IO line before and after administration |
|
|
Special considerations |
Don't use routinely in cardiac arrest unless underlying cause of cardiac arrest is an indication |
|
|
Special considerations |
Three times more potent than calcium gluconate |
|
|
Special considerations |
Central venous route is preferred route in pediatrics |
|
|
Special considerations |
Monitor IV site carefully; local infiltration can result in severe tissue necrosis and sloughing |
|
|
Special considerations |
Because it is highly irritating, don't give IM or subq |
|
|
Special considerations |
Avoid if patient is taking digoxin |
|
|
Pregnancy category |
C |
