Calcium Chloride Dosage
Applies to the following strengths: 100 mg/mL
Usual Adult Dose for:
Additional dosage information:
Usual Adult Dose for Hypocalcemia
Usual dose: 500 to 1000 mg by slow intravenous injection, every 1 to 3 days depending on response and/or serum calcium
-Repeat injections may be needed because of rapid calcium excretion.
Maximum rate: 1 mL/min
Use: Hypocalcemia in conditions requiring prompt blood calcium increases
Usual Adult Dose for Hypermagnesemia
Initial dose: 500 mg by slow intravenous injection
Maximum rate: 1 mL/min
Comments:
-Give dose promptly.
-Observe for signs of recovery before administering additional doses.
Use: Magnesium toxicity due to magnesium sulfate overdose
Usual Adult Dose for Hyperkalemia
Dose is titrated by constant ECG monitoring
Maximum rate: 1 mL/min
Use: To combat deleterious effects of hyperkalemia as measured by electrocardiograph (ECG) pending correction of increased extracellular potassium
Usual Adult Dose for Asystole
Usual dose:
500 to 1000 mg by slow intravenous injection
Maximum rate: 1 mL/min
OR
200 to 800 mg injected into the ventricular cavity
Comments:
-Do not inject into the myocardium.
Use: Cardiac resuscitation when weak or inadequate contractions return after defibrillation, or when epinephrine has not strengthened myocardial contractions
Usual Adult Dose for Electromechanical Dissociation
Usual dose:
500 to 1000 mg by slow intravenous injection
Maximum rate: 1 mL/min
OR
200 to 800 mg injected into the ventricular cavity
Comments:
-Do not inject into the myocardium.
Use: Cardiac resuscitation when weak or inadequate contractions return after defibrillation, or when epinephrine has not strengthened myocardial contractions
Renal Dose Adjustments
Data not available
-This product contains aluminum, which may become toxic with prolonged parenteral administration in patients with impaired renal function.
-Premature neonates are at increased risk for aluminum toxicity due to their immature kidneys and need for large calcium and phosphate doses, which contain aluminum.
-Patients, including premature neonates, with impaired kidney function who receive over 4 to 5 mcg/kg/day aluminum have accumulation levels associated with central nervous system and bone toxicity; tissue loading may occur at lower administration rates also.
Liver Dose Adjustments
Data not available
Precautions
CONTRAINDICATIONS:
-Contraindicated for cardiac resuscitation if ventricular fibrillation or digitalis toxicity are present
Consult WARNINGS section for additional precautions.
Dialysis
Data not available
Other Comments
Administration advice:
-Use great care to avoid extravasation or perivascular injection.
-Inject slowly using a small needle in a large vein to minimize irritation and reduce adverse event risk.
-This drug must not be injected into the myocardial tissue; only inject into the ventricular cavity during cardiac resuscitation.
-Halt injections for patient discomfort; infusion may be continued after discomfort subsides.
-The patient should remain recumbent for a short time after the infusion.
Reconstitution/preparation techniques:
-Warm to body temperature if time permits
-Inspect for particulates and discoloration
More about calcium chloride
- Side Effects
- During Pregnancy
- Drug Interactions
- Pricing & Coupons
- Drug class: minerals and electrolytes
- FDA Alerts (2)
Professional resources
Related treatment guides
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.