calcium gluconate

Adult Dosing .

Dosage forms:  TAB: 45 mg, 50 mg; PWDR: 1040 mg per 3 Tbsp; INJ: various

Special Note

[strength clarification]

Info: Ca gluconate contains approx. 9.3% elemental Ca; 1 g Ca gluconate = 93 mg (4.65 mEq) elemental Ca; doses expressed as Ca gluconate salt, except where otherwise specified

hypocalcemia, emergent

[1-2 g IV q6h prn]

Start: 1-2 g IV over 5-10min x1; Max: 200 mg/min; 15 g/day; Alt: 5.4-21.5 mg/kg/h IV infusion

hypocalcemia, transfusion-associated (off-label)

[1-2 g IV w/ each 500 mL citrated blood]

arrhythmia, life-threatening (off-label)

[1.5-3 g IV q2-5min prn]

Max: 200 mg/min; 3 g/episode; 15 g/day; Info: for arrhythmias associated w/ hypocalcemia, hyperkalemia, or hypermagnesemia

hypermagnesemia, adjunct tx (off-label)

[1-2 g IV x1]

Max: 200 mg/min; Info: for CNS depression

calcium channel blocker overdose (off-label)

[3-6 g IV over 10min q20min x5 doses prn]

osteoporosis prevention, postmenopausal (off-label)

[1.2 g/day elemental Ca PO divided tid-qid]

dietary supplementation

[individualize dose]

Info: see Dietary Reference Intakes, Calcium table

renal dosing

[see below]

renal impairment: give lowest usual start dose

HD/PD: not defined

hepatic dosing

[no adjustment]

Peds Dosing .

Dosage forms:  TAB: 45 mg, 50 mg; PWDR: 1040 mg per 3 Tbsp; INJ: various

Special Note

[strength clarification]

Info: Ca gluconate contains approx. 9.3% elemental Ca; 1 g Ca gluconate = 93 mg (4.65 mEq) elemental Ca; doses expressed as Ca gluconate salt, except where otherwise specified

hypocalcemia, emergent

[<1 mo]

Dose: 100-200 mg/kg/dose IV q6h prn; Start 100-200 mg/kg/dose IV over 5-10min x1; Max: 100 mg/min; Alt: 17-33 mg/kg/h IV infusion

[1 mo and older]

Dose: 29-60 mg/kg/dose IV q6h prn; Start: 29-60 mg/kg/dose IV over 5-10min x1; Max: 100 mg/min; Alt: 8-13 mg/kg/h IV infusion

arrhythmia, life-threatening (off-label)

[infants/children]

Dose: 60-100 mg/kg/dose IV/IO q10min prn; Max: 100 mg/min; 800 mg/dose; 3 g/episode; Info: for arrhythmias associated w/ hypocalcemia, hyperkalemia, or hypermagnesemia

calcium channel blocker overdose (off-label)

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

dietary supplementation

[individualize dose]

Info: see Dietary Reference Intakes, Calcium table

renal dosing

[see below]

renal impairment: give lowest usual start dose

HD/PD: not defined

hepatic dosing

[no adjustment]