Page 303 - ATP-P 11th Ed

• Calcium channel blocker overdose
• Hypermagnesemia
• Cardiac arrest due to hyperkalemia, hypocalcemia
Adult dose: 0.5–1g (5–10mL of a 10% solution) slow IVP over 3–5min
Pediatric dose: 20mg/kg (0.15–3.0mL/kg of a 10% solution) slow IV push
Maximum dose = 1g or 10mL
Contraindications:
• Hypercalcemia
• Digitalis toxicity
• Renal or cardiac disease
Pregnancy Category: Generally considered to be safe
Side-effects/precautions:
• Extravasation may cause tissue damage and necrosis
• Rapid injection may cause vasodilation, hypotension, bradycardia, cardiac dysrhythmia,
syncope, and cardiac arrest
Other notes:
• Will precipitate if mixed with sodium bicarbonate SECTION 3
TMEP use: Crush Injury Protocol

®
Calcium Gluconate (Kalcinate )
GROUNDING medication for personnel on flight status
Description: Calcium salt
Action:
• Increased calcium levels
• Has a role in the release of neurotransmitters and hormones
• Increased cardiac contractile state
• May increase ventricular automaticity
Indications:
• Acute hypocalcemia
• Acute hyperkalemia
• Calcium channel-blocker overdose
Dose:
• 1g (10mL of a 10% solution)
• 1.5–3g of a 10% calcium gluconate aqueous solution (1g in 10mL vial) over 2–5min
SLOW IV push
Contraindications:
• Hypercalcemia
• Digitalis toxicity
• Renal or cardiac disease

ATP-P Handbook 11th Edition 293