hyperkalemia

Specialties MICU

Published

How fast should you push an amp of Calcium Chloride for hyperkalemia?

Specializes in community small-town med/icu unit.

Let's try this aannaa :

Let me google that for you

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

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We are happy to help but I would follow your facilities recommendations for the administration of this drug. Call your pharmacy for the policy/recommendations. Usually it is not administered at a rate greater than 1ml/min unless in a resuscitation situation.

RxMed: Pharmaceutical Information - CALCIUM CHLORIDE INJECTION USP

Specializes in MICU/SICU PCU/Education/Transplant.

I agree to follow your faciltiy policy but my guess is that you can't and shouldn't. Calcium chloride should only be pushed in a code. Are you thinking about Calcium gluconate? That can be pushed. You might want to check because there is a big difference.

Specializes in CCRN, ALS, BLS, PALS.

(1ml=100 mg in a 10%solution im pretty sure?) During emergent hypocalcemia- 500mg-1000mg IV over 10 mins, for arrhytmias- 500mg-1000mg IV q10 prn 0.5ml-1ml/ min, for hypermagnesemia 500mg, 0.5ml-1ml / min. For cardiac resus- (check it before doing it but im 98% sure its 2-4mg/kg q10 per serum levels.

What I remember someone telling me is that CHLORIDE is about 2x more potent then GLUCANATE. (meq CA)

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