Calcium

Question 1

Calcium Gluconate 10% solution

Adult:

Answer 1

Pulseless arrest assumed due to hyperkalemia:
• 3 g (30ml) slow IV push

Calcium channel blocker overdose with hypotension and bradycardia:
• CONTACT BASE for order. 3 g (30ml) slow IV/IO push over 2-3 minutes. Dose may be repeated every 10 minutes for total of 3 doses

Question 2

Calcium Gluconate 10% solution

Ped:

Answer 2

• Calcium channel blocker overdose with hypotension for age and bradycardia:
• CONTACT BASE 60 mg/kg (0.6 mL/kg), not to exceed 1 g slow IV/IO push not to exceed 2 mL/min, may repeat every 10 minutes for total of 3 doses

Question 3

Calcium Chloride 10% solution

Adult:

Answer 3

• Pulseless arrest assumed due to hyperkalemia:
• 1 g (10 ml) slow IV push
• Calcium channel blocker overdose with hypotension and bradycardia:
• CONTACT BASE for order. 1 g (10ml) slow IV/IO push over 2-3 minutes. Dose may be repeated every 10 minutes for total of 3 doses

Question 4

Calcium Chloride 10% solution

Ped:

Answer 4

• Calcium channel blocker overdose with hypotension for age and bradycardia::
• CONTACT BASE 20 mg/kg (0.2 mL/kg), not to exceed 1 g slow IV/IO push not to exceed 1 mL/min, may repeat every 10 minutes for total of 3 doses