商品名:Vitacal ®
處置代碼:CALIB3
規格:20mg/100mg/ml, 20ml/amp (CaCl2/Glucose) (1 支 Vitacal® ≈ 5.44 mEq Ca²⁺ ≈ 108 mg 元素鈣)
CaCl2 1g = 270mg elemental calcium = 13.6mEq = 6.8mmol
適應症:Hypocalcaemia, Beta-blocker or Calcium channel blocker overdose
泡法:(Initial) 2 支 in 100 mL D5W or NS; (Keep) 4支in 500 ml D5W or NS
劑量:從CVC或大血管打
Loading IV: 2 支 in 100 mL D5W or NS over 10-20 min, May repeat once after 10- 60 min if indications are still present.
Maintain 4支in 500 ml D5W or NS Q12H run 6 hr
滴速:Avoid rapid administration (do not exceed 100 mg/min except in emergency situations).
外滲 Elevation, warm or cold compresses
備註:
The bolus dose of calcium gluconate will raise the serum calcium concentration for only two or three hours; as a result, it should be followed by a slow infusion of calcium in patients with persistent hypocalcemia.
如果是hypoparathyroidism 可合併vitamin D 使用
打Calcium chloride 會Increased CO2 production,用在併有respiratory failure 要密切監測