Calcium Gluconate (Kalcinate)

 

 

INDICATIONS:

 

  • Overdose (calcium channel blocker)
  • Magnesium Sulfate drip toxicity
  • Certain types of arrest, i.e. dialysis patients
  • Known Hypocalcemia

 

ADMINISTRATION:

 

  • IV, IO

 

DOSAGE:

 

  • ADULT:
    • 10-20 ml slow administration

 

  • PEDIATRIC:
    • 50 - 100 MG/KG slow administration

 

THERAPEUTIC EFFECTS:

 

  • Reverses overdose with Magnesium Sulfate or calcium channel blockers
  • Relieves some types of muscle spasm
  • Replaces electrolytes necessary for the contractile function of the heart

 

RELATIVE CONTRAINDICATIONS:

 

  • Use with extreme caution in patients taking digitalis

 

SIDE EFFECTS:

 

  • Hypotension
  • Bradycardia
  • Arrhythmia
  • Cardiac arrest
  • Chalky or metallic taste
  • Feeling that a "wave of heat" is passing through the body

 

SPECIAL NOTES / RESTRICTIONS:

 

  • Adult Dosage: 5-20 ml slow IV administration
  • Pediatric Dosage: 50 - 100 mg/kg
  • Do not administer with Sodium Bicarbonate
  • Use smaller doses for patients on Digoxin