How do you administer calcium gluconate?
Calcium Gluconate should be administered intravenously either directly or by infusion. The dose is dependent upon the individual requirements of the patient. Calcium Gluconate may also be administered by intermittent infusion at a rate not exceeding 200 mg/min, or by continuous infusion.
How do you give calcium gluconate infusion?
Treat acute, symptomatic hypocalcemia with 10% calcium gluconate, 93 to 186 mg of elemental calcium (10 to 20 mL) IV over 10 minutes. Follow this with an IV infusion of 540 to 720 mg of elemental calcium (58 to 77 mL of 10% calcium gluconate) in 500 to 1000 mL D5W at 0.5 to 2 mg/kg per hour (10 to 15 mg/kg)”. 1.
How fast do you run calcium gluconate?
Severe symptomatic hypocalcemia (seizure, laryngospasm, tetany): 1 to 2 grams of calcium gluconate should be administered in 10 minutes and repeated in 10 to 60 minutes until symptoms resolve.
What is calcium gluconate an antidote for?
Calcium gluconate is used as a cardioprotective agent in high blood potassium. Calcium gluconate is the antidote for magnesium sulfate toxicity.
Why use calcium gluconate in hyperkalemia?
Calcium gluconate should be used as a first-line agent in patients with EKG changes or severe hyperkalemia to protect cardiomyocytes. Insulin and glucose combination is the fastest acting drug that shifts potassium into the cells. B-agonists can be used in addition to insulin to decrease plasma potassium levels.
Why do we give calcium gluconate?
Calcium gluconate is the calcium salt of gluconic acid, an intravenous medication used to treat conditions arising from calcium deficiencies such as hypocalcemic tetany, hypocalcemia related to hypoparathyrodism, and hypocalcemia due to rapid growth or pregnancy.
How do you dilute calcium gluconate?
Calcium Gluconate Injection can be diluted with glucose 5% or sodium chloride 0.9%. Dilution into a solution containing bicarbonate, phosphate or sulfate should be avoided.
Do you dilute calcium gluconate?
To avoid adverse reactions that may follow rapid intravenous administration, Calcium Gluconate Injection should be diluted with 5% dextrose or normal saline and infused slowly.
When do you give calcium gluconate for hyperkalemia?
Patients with hyperkalemia who have electrocardiographic (ECG) changes, a rapid rate of rise of serum potassium, decreased renal function, or significant acidosis should be urgently treated. Patients with hyperkalemia and characteristic ECG changes should be given intravenous calcium gluconate.
How does calcium gluconate Stabilise myocardium?
Membrane stabilization: Calcium antagonizes the cardiac effects of hyperkalemia. It raises the cell depolarization threshold and reduces myocardial irritability. Calcium is given regardless of serum calcium levels.