Clinical use
  • Treatment of hypocalcaemia
    • Major causes are hypoparathyroidism, vitamin D deficiency, chronic kidney disease, malabsorption
  • IV, IM or PO administration
    • Calcium carbonate is preferred oral option (40% calcium and antacid properties)
    • Calcium gluconate is preferred IV option (less irritating to veins)
  • IV administration:
    • Severe symptomatic hypocalcaemia
    • Slow infusion of 5-20ml of 10% calcium gluconate
  • Adverse effects:
    • Local irritation to veins
    • Cardiac arrhythmias with rapid administration
    • Hypercalcaemia

Pharmacology 101

Top 200 drugs

MBBS (UWA) CCPU (RCE, Biliary, DVT, E-FAST, AAA) Adult/Paediatric Emergency Medicine Advanced Trainee in Melbourne, Australia. Special interests in diagnostic and procedural ultrasound, medical education, and ECG interpretation. Editor-in-chief of the LITFL ECG Library. Twitter: @rob_buttner

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