Indications And Dose
Severe acute hypocalcaemia or hypocalcaemic tetany ▶INITIALLY BY SLOW INTRAVENOUS INJECTION ▶Adult: Initially 10–20 mL, calcium gluconate injection 10% (providing approximately 2.25–4.5 mmol of calcium) should be administered with plasma-calcium Blood and nutrition and ECG monitoring, and either repeated as required or, if only temporary improvement, followed by a continuous intravenous infusion to prevent recurrence, alternatively (by continuous intravenous infusion), initially 50 mL/hour, adjusted according to response, infusion to be administered using 100 mL of calcium gluconate 10% diluted in 1 litre of glucose 5% or sodium chloride 0.9% Acute severe hyperkalaemia (plasma-potassium concentration above 6.5 mmol/litre or in the presence of ECG changes) ▶BY SLOW INTRAVENOUS INJECTION ▶Adult: 10–20 mL, calcium gluconate 10% should be administered, dose titrated and adjusted to ECG improvement Calcium deficiency | Mild asymptomatic hypocalcaemia ▶BY MOUTH ▶Adult: Dose according to requirements DOSE EQUIVALENCE AND CONVERSION ▶0.11 mmol/kg is equivalent to 0.5 mL/kg of calcium gluconate 10%.
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