Calcium Supplementation
19-50 years old: 1000mg/day PO (divided q8-12hr)
>50 years old: 1200mg/day PO (divided q8-12hr)
Pregnant or breastfeeding patient: 1000mg/day PO (divided q8-12hr)
Hypocalcemia
Mild (Calcium 1-1.2 mmol/L)
1-3 g/day PO in divided doses
1-2 g IV over 2 hours
Severe (Calcium < 1 mmol/L)
without seizure or tetany: 0.5mg/kg/hr IV, may be increased to 2mg/kg/hr
Hypocalcemic tetany:
100-300mg elemental calcium (~3g<unk>  IV over 5-10 min
Followed by continuous IV infusion at 0.5mg/kg/hr
Calcium channel blocker toxicity: 3g IV (30-60mL of 10% soln)
Beta blocker toxicity: 3g IV (30-60mL of 10% soln)
Hyperkalemia: Give 10ml of a 10% solution over 10 mins
Hydrofluoric acid toxicity:
25ml 10%<unk>  mixed with 75ml water soluble lubricant applied topically
In severe cases, can infuse 10ml 10%<unk>  mixed in 40mL of D5W through arterial catheter over 4 hours
19-50 years old: 1000mg/day PO (divided q8-12hr)
>50 years old: 1200mg/day PO (divided q8-12hr)
Pregnant or breastfeeding patient: 1000mg/day PO (divided q8-12hr)
Mild (Calcium 1-1.2 mmol/L)
1-3 g/day PO in divided doses
1-2 g IV over 2 hours
Severe (Calcium < 1 mmol/L)
without seizure or tetany: 0.5mg/kg/hr IV, may be increased to 2mg/kg/hr
Hypocalcemic tetany:
100-300mg elemental calcium (~3g<unk>  IV over 5-10 min
Followed by continuous IV infusion at 0.5mg/kg/hr
1-3 g/day PO in divided doses
1-2 g IV over 2 hours
without seizure or tetany: 0.5mg/kg/hr IV, may be increased to 2mg/kg/hr
Hypocalcemic tetany:
100-300mg elemental calcium (~3g<unk>  IV over 5-10 min
Followed by continuous IV infusion at 0.5mg/kg/hr
100-300mg elemental calcium (~3g<unk>  IV over 5-10 min
Followed by continuous IV infusion at 0.5mg/kg/hr
25ml 10%<unk>  mixed with 75ml water soluble lubricant applied topically
In severe cases, can infuse 10ml 10%<unk>  mixed in 40mL of D5W through arterial catheter over 4 hours
Calcium gluconate
Sodium bicarbonate
Calcium chloride
Magnesium sulfate
Dextrose
Glucagon
Mannitol
Sodium thiosulfate