Page 108 - 2026 SMOG

CALCIUM GLUCONATE (CaGlu)
Dose/Administration
PEDIATRIC
ADULT
(Always reference Broselow Tape)
Cardiac Arrest or Cardiotoxicity in the Cardiac Arrest or Cardiotoxicity in the
Presence of Hyperkalemia, Hypocalcemia, Presence of Hyperkalemia, Hypocalcemia,
or Hypermagnesemia Hypermagnesemia, or Calcium Channel
• IV/IO (SLOW) Blocker Toxicity
˚ 1.5–3g over 2–5min • IV/IO (SLOW)
Calcium Channel Blocker Toxicity ˚ 60mg/kg (0.6mL/kg of 10% solution);
(Off-Label use): repeat prn to achieve desired clinical
Hypotension/Conduction Disturbances effect
• IV/IO Note: Calcium Chloride is 3x more potent
˚ 3–6g over 5–10min; may repeat q10– than Calcium Gluconate; use higher doses of
20min with 3–4 additional doses
Calcium Gluconate to reach similar therapeutic
Hypocalcemia Prophylaxis from Massive doses
Transfusion
• IV/IO
30mL of 10% solution over 5min
Hydrofluoric Acid Exposure (Off-Label use:
Burn Protocol)
• Topical Therapy
˚ After thorough irrigation, a CaGlu gel
(3:1 concentration of KY Jelly to 10%
CaGlu) can be made and applied to the
affected area, left on for 30min, cleaned
off, and repeated q4hr.
˚ Assess for pain relief and monitor EKG.
(NO Calcium Chloride!)

100 • MEDICATIONS