Calcium Chloride Dosage
Applies to the following strengths: 100 mg/mL
Usual Adult Dose for:
Usual Pediatric Dose for:
Additional dosage information:
Usual Adult Dose for Hypocalcemia
200 mg to 1000 mg by slow IV injection
Maximum rate: 1 mL/min (100 mg/minute)
Comments:
- Dose should be individualized depending on serum calcium level, severity of hypocalcemia symptoms, and the acuity of hypocalcemia onset.
- Repeat injections may be needed because of rapid calcium excretion.
Use: For the treatment of acute symptomatic hypocalcemia
Usual Pediatric Dose for Hypocalcemia
2.7 mg/kg to 5 mg/kg of calcium chloride by slow IV injection
Maximum rate: 1 mL/min (100 mg/minute)
Comments:
- Dose should be individualized depending on serum calcium level, severity of hypocalcemia symptoms, and the acuity of hypocalcemia onset.
- Repeat injections may be needed because of rapid calcium excretion.
Use: For the treatment of acute symptomatic hypocalcemia
Renal Dose Adjustments
- The recommended starting dose of calcium chloride injection in adults with renal impairment is 200 mg.
- The recommended starting dose of calcium chloride injection in pediatric patients is 2.7 mg/kg.
Liver Dose Adjustments
Data not available
Precautions
CONTRAINDICATIONS:
- Ventricular fibrillation
- Patients with asystole and electromechanical dissociation
- Concurrent use of this drug and ceftriaxone in neonates (28 days old or younger)
Consult WARNINGS section for additional precautions.
Dialysis
Data not available
Other Comments
Administration advice:
- Do not use intramuscularly or subcutaneously to avoid tissue necrosis calcinosis cutis.
- 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.
- Do not administer by bolus.
- Withhold injections if patient experience discomfort; infusion may be continued after discomfort subsides.
Storage requirements:
- Store at 20C to 25C (68F to 77F), with excursions permitted between 15C to 30C (59F to 86F).
Preparation techniques:
- Warm to body temperature if time permits.
- Inspect for particulates and discoloration.
IV compatibility:
- In neonates (28 days old or younger), the concurrent use of this drug and ceftriaxone is contraindicated.
- In patients over 28 days old, ceftriaxone and this drug can be given sequentially if infusion lines are thoroughly flushed with a compatible fluid between uses.
- Do not mix this drug with others or administer it simultaneously with ceftriaxone, as this can cause ceftriaxone-calcium precipitates.
General:
- The safety and effectiveness of this product for long-term use has not been established.
Monitoring:
- Cardiovascular: Heart function using electrocardiogram
- Hematologic: Serum calcium levels, blood pressure, hypercalcemia
Patient advice:
- Concomitant use of this drug with digoxin may cause arrhythmias.
- This drug may cause calcinosis cutis, including tissue necrosis, ulceration, and secondary infection.
- This drug contains aluminum that may be toxic.
More about calcium chloride
- Check interactions
- Compare alternatives
- Pricing & coupons
- Side effects
- During pregnancy
- Drug class: minerals and electrolytes
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Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.