• Class: Electrolyte (anion)

• Action: Increases cardiac contractile state

• Indications: hypocalcemia, hyperkalemia, hypomagnesaemia, beta blocker and calcium channel blocker toxicity i.e. (Cardizem or verapamil)

• Adverse Effects: Syncope, cardiac arrest, dysrhythmia, bradycardia, hypotension, asystole, peripheral vasodilation, nausea/vomiting, metallic taste, tissue necrosis at injection site, coronary and cerebral artery spasm.

• Contraindications: Hypercalcemia, ventricular fibrillation, digitalis toxicity.

• Special Considerations: Ensure patent IV prior to administration, as necrosis and cellulitis can result - Pregnancy Class C

Dosages:

Adults:

• 10ml IV/IO

Pediatrics:

• None