calcium chloride

Adult Dosing .

Dosage forms:  INJ

Special Note

[strength clarification]

Info: 10% IV solution = 100 mg per mL CaCl2 = 27 mg (1.4 mEq) per mL elemental Ca; doses expressed as CaCl2 salt

hypocalcemia, emergent

[200-1000 mg IV over 10-20min x1]

Max: 100 mg/min; Info: may repeat dose based on serum Ca levels

hypocalcemia, transfusion-assoc.

[200-500 mg IV w/ each 500 mL citrated blood]

arrhythmia, life-threatening (off-label)

[500-1000 mg IV q10min prn]

Max: 100 mg/min; Info: for arrhythmias associated w/ hypocalcemia, hyperkalemia, or hypermagnesemia

hypermagnesemia, adjunct tx (off-label)

[500 mg IV x1]

Max: 100 mg/min; Info: for CNS depression; may repeat prn

calcium channel blocker overdose (off-label)

[1-2 g IV over 10min q20min x5 doses prn]

renal dosing

[hypocalcemia, emergent]

renal impairment: start 200 mg x1

HD/PD: not defined

[all other indications]

renal impairment: start at lowest usual dose

HD/PD: not defined

hepatic dosing

[not defined]

Peds Dosing .

Dosage forms:  INJ

Special Note

[strength clarification]

Info: 10% IV solution = 100 mg per mL CaCl2 = 27 mg (1.4 mEq) per mL elemental Ca; doses expressed as CaCl2 salt

hypocalcemia, emergent

[2.7-5 mg/kg/dose IV over 10-20min x1]

Max: 100 mg/min; Info: may repeat dose based on serum Ca levels

arrhythmia, life-threatening (off-label)

[20 mg/kg/dose IV/IO q10min prn]

Max: 100 mg/min; Info: for arrhythmias associated w/ hypocalcemia, hyperkalemia, or hypermagnesemia

calcium channel blocker overdose (off-label)

[20 mg/kg/dose IV over 10min q20min x5 doses prn]

renal dosing

[hypocalcemia, emergent]

renal impairment: start 2.7 mg/kg/dose x1

HD/PD: not defined

[all other indications]

renal impairment: start at lowest usual dose

HD/PD: not defined

hepatic dosing

[not defined]