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  • Calcium Gluconate

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    Dilip Senth
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    Calcium gluconate is an intravenous electrolyte used to treat hypocalcemia and hyperkalemia. It comes in 10% ampoules containing 1g in 10mL, providing 0.22mmol of calcium per mL. For hypocalcemia, the usual dose is 500mg/kg/24 hours by continuous infusion, with a maximum dose of 800mg/kg/24 hours. Rapid infusion may cause side effects like bradycardia, so it should be given slowly over 10 minutes with ECG monitoring. It must be administered intravenously and diluted before infusion to avoid tissue necrosis from extravasation.

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    Calcium gluconate - uses in medecine.

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    Calcium gluconate is an intravenous electrolyte used to treat hypocalcemia and hyperkalemia. It comes in 10% ampoules containing 1g in 10mL, providing 0.22mmol of calcium per mL. For hypocalcemia, the usual dose is 500mg/kg/24 hours by continuous infusion, with a maximum dose of 800mg/kg/24 hours. Rapid infusion may cause side effects like bradycardia, so it should be given slowly over 10 minutes with ECG monitoring. It must be administered intravenously and diluted before infusion to avoid tissue necrosis from extravasation.

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    720 views1 page

    Calcium Gluconate

    Uploaded by

    Dilip Senth
    Calcium gluconate is an intravenous electrolyte used to treat hypocalcemia and hyperkalemia. It comes in 10% ampoules containing 1g in 10mL, providing 0.22mmol of calcium per mL. For hypocalcemia, the usual dose is 500mg/kg/24 hours by continuous infusion, with a maximum dose of 800mg/kg/24 hours. Rapid infusion may cause side effects like bradycardia, so it should be given slowly over 10 minutes with ECG monitoring. It must be administered intravenously and diluted before infusion to avoid tissue necrosis from extravasation.

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    DRUG: PRESENTATION:

    CALCIUM GLUCONATE Ampoule: 1g in 10mL, (10%).

    (contains 0.22mmol Calcium per mL) ACTION & INDICATION: Intravenous electrolyte for the treatment of hypocalcaemia Ionized calcium less than 0.65mmol/l (<0.75mmol/l if symptomatic) Hyperkalaemia Usual dose: 500mg (5mL of 10% ampoule solution) /kg/24 hours Maximum dose: 800mg/kg/24hours In hypocalcaemia seizures: Withdraw 2mL/kg of 10% solution and dilute with an equal amount of compatible fluid. Slow infusion over 10 minutes with ECG monitoring. Stop infusion if bradycardia occurs. PREPARATION: For continuous infusion: Withdraw 5mL/kg of 10% calcium gluconate. Dilute to 25mL with appropriate diluent. Compatible fluids: 5% and 10% Glucose, sodium chloride 0.9%, 7.5% glucose in sodium chloride 0.18% ADMINISTRATION: For intravenous use only Infuse at 1mL/hour Give via a central line, if available. If giving through UVC make sure the tip of the UVC is not in the heart or the liver. ADVERSE EFFECTS: Extravasation causes tissue necrosis. Rapid infusion may cause bradycardia, hypotension, and peripheral vasodilation.

    DOSE:

    COMMENTS:

    Monitor serum calcium and ionized calcium concentrations. Monitor ECG when bolus doses are given. DO NOT MIX WITH SODIUM BICARBONATE

    REFERENCES:

    Paediatric Pharmacopoeia 13th Ed Royal Childrens Hospital Melbourne Pediatric Dosage Handbook 14th Ed January 2011

    DATE:

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