Medication 7-175 - Calcium Chloride (Calciject)

CMH EMS & MIH Protocols

Scope of Practice:

• Registered Nurse
• Paramedic
• Community Paramedic

Route(s):

• IO, IV,

Pharmacodynamics (class and mechanism of action):

• Electrolyte (Facilitates cardiac contractility).

Pharmacokinetics:

• Half-life: Unknown.
• Onset time: Immediate.
• Peak action time: Immediate.
• Duration of action: 0.5-2 hours.

• Peak	9	18	27	36	45	54	63	72	81	90	99	minutes
  Duration	9	18	27	36	45	54	63	72	81	90	99	minutes

Dosing:

• Refer to specific protocol(s) below for dose(s).

Indications:

• Protocol 2-176 - Burns.
• Protocol 2-198 - Cardiac Arrest.
• Protocol 2-396 - Extremity Trauma.
• Protocol 2-638 - Overdose / Toxic Ingestion.
• Medication 7-066 - Amiodarone.
• Medication 7-559 - Magnesium Sulfate.

Contraindications:

• Patients on Digitalis.

Pregnancy Risk Factor:

• Category C
• Risk not ruled out: Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks. FDA requires a relatively large amount of high-quality data on a pharmaceutical for it to be defined as Pregnancy Category A. As a result of this, many drugs that would be considered Pregnancy Category A in other countries are allocated to Category C by the FDA.

Potential Incompatibilities:

• Medication 7-823 - Sodium Bicarbonate.

Precautions and Adverse Effects:

• May cause Bradycardia, Asystole, and hypotension.

Antidote:

• NA.

Controlled Substance Information:

• Not a scheduled drug
• The DEA and FDA have not identified this drug with a schedule classification.
• DEA number: NA.
• Narcotic: No.
• Street names: NA.

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Polk, Hickory, Cedar, & St Clair County EMS Protocols is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.