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PICU DRUG INFORMATION
Calcium
Electrolyte
Hypocalcemia
IV:
Calcium gluconate bolus: 50-100 mg of calcium gluconate/kg (usual maximum: 2-3 g/dose)
Calcium gluconate infusion: 0.05-0.1 mmol/kg/h (usual maximum: 1 gram/h or 2.32 mmol/h to start) adjust rate Q4H
Calcium chloride: 10-20 mg of calcium chloride/kg (usual maximum: 1 g/dose) Central line preferred.
PO:
50-150 mg/kg/day of elemental calcium divided QID
These doses are suggested starting doses, increase and repeat as required.
Availability:
IV:
Calcium gluconate 10% = calcium gluconate 100 mg/mL = elemental calcium 9 mg/mL, 0.45 mEq/mL, 0.23 mmol/mL
Calcium chloride 10% = calcium chloride 100 mg/mL = elemental calcium 27 mg/mL, 1.4 mEq/mL, 0.7 mmol/mL
PO calcium carbonate:
Liquid as 80 mg elemental calcium/mL
Chewable tabs (Tums) 500 mg (200 mg elemental calcium/tab
Oyster shell tabs 1 250 mg (containing 500 mg elemental calcium/tab)
PO calcium lactogluconate:
sugar-free liquid (20 mg elemental calcium/mL)
Updated: 12/21/2022
Disclaimer: This document has been created specifically for Hamilton Health Sciences (HHS) to use for its own patients and the information contained herein may not be applicable or relevant to other health care organizations. This document is for informational purposes only and is not intended to be a substitute for medical or clinical advice from a qualified health care professional. HHS makes no representations or warranties as to the accuracy of the information. This material is current only to the date listed. This material is the intellectual property of HHS and may not be shared, duplicated, or distributed further without the consent of HHS. HHS assumes no liability for the use of this information by the recipient.
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