Calcium Gluconate

Question 1

Calcium Gluconate:
Classification -
1. ___

Answer 1

Classification -

1. Electrolyte - calcium salt.

Question 2

Calcium Gluconate:
Classification -
1. ___

Answer 2

Action -

1. Involved in regulation of cell membrane permeability to sodium and potassium.
2. Plays a role in excitation contraction coupling (increases force of myocardial contraction and muscle contraction).

Question 3

Calcium Gluconate:
Onset of Action -
1. ___

Answer 3

Onset of Action -

1. Immediate.

Question 4

Calcium Gluconate:
Duration of Action -
1. ___

Answer 4

Duration of Action -

1. 30 min - 2 hours.

Question 5

Calcium Gluconate: 
Indication - 
1. \_\_\_ 
2. \_\_\_ 
3. \_\_\_ 
4. \_\_\_

Answer 5

Indication -

1. Suspected hyperkalemia - EKG exhibiting tall, peaked T waves, prolongation of QRS, low P waves.
2. Calcium channel blocker or beta blocker overdose.
3. Antidote for magnesium sulfate toxicity.
4. Crush Injury Syndrome hyperkalemia.

Question 6

Calcium Gluconate: 
Contraindication - 
1. \_\_\_ 
2. \_\_\_ 
3. \_\_\_

Answer 6

Contraindication -

1. Ventricular fibrillation.
2. Digitalis intoxication (may result in asystole).
3. Hypercalcemia.

Question 7

Calcium Gluconate: 
Use with Caution - 
1. \_\_\_ 
2. \_\_\_ 
3. \_\_\_

Answer 7

Use with Caution -

1. Extravasation causes tissue sloughing.
2. Dehydration.
3. Do not mix with dosium bicarbonate (flush line first).

Question 8

Calcium Gluconate:
Dosage and Administration -
1. 10% = ___
2. Adult: ___

Answer 8

Dosage and Administration -

1. 10% = 100 mg/mL.
2. Adult: 3 g IV/IO over 5 minutes; may be repeated as needed in 20 minutes.

Question 9

Calsium Gluconate:
Adverse Reaction -
1. (List of 3)
2. ___

Answer 9

Adverse Reaction -

1. Bradycardia, Ventricular fibrillation, Asystole.
2. Mild to severe IV site irritation.

Question 10

Calcium Gluconate:
Dosage and Administration -
1. Pediatric: ___

Answer 10

Dosage and Administration -

1. Pediatric: 60 mg/kg IV/IO, slowly.