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Monitor serum calcium levels (>1-2 hours after dose) and repeat calcium gluconate as required according to levels. If patient is symptomatic an infusion is often needed to prevent recurrence. Add 100ml of calcium gluconate 10%.
IV Guides (Adult) Calcium gluconate Intravenous for Adults. Who can administer. May be administered by registered competent doctor or nurse/midwife. Important information. Do NOT administer through same line as solutions containing phosphate, bicarbonate or sulphates.
Severe Hypocalcaemia: serum adjusted calcium <1.9mmol/L and/or symptomatic. This is a medical emergency. Administer calcium gluconate 10% IV as follows: Initially, give calcium gluconate 10% IV 10-20ml in glucose 5% IV 50-100ml over 10 minutes, with ECG monitoring.
In severe cases, intravenous calcium forms the mainstay of initial therapy but it is essential to ascertain the underlying cause and commence specific therapy as early as possible. This guideline aims to take the non-specialist through the initial phase of assessment and management.
In severe cases, intravenous calcium forms the mainstay of initial therapy, but it is essential to ascertain the underlying cause and commence specific therapy as early as possible. This guideline aims to take the non-specialist through the initial phase of assessment.
This guideline is to be used by prescribers to aid them in prescribing calcium supplementation in adult inpatients to treat hypocalcaemia. Hypocalcaemia can potentially be a life-threatening biochemical abnormality.
Introduction. Under physiological conditions, serum calcium concentration is tightly regulated. Abnormalities of parathyroid function, bone resorption, renal calcium reabsorption or dihydroxylation of vitamin D may cause regulatory mechanisms to fail and serum calcium to rise.
