Hypocalcemia
Infant: up to 1 mEq ca IV slowly.
Child: 1-7 mEq ca IV slowly (Max 0.7-1.8 mEq/min) as 10% gluconate solution, 2-10% chloride solution, or 22% gluceptate solution.
Adult: 7-14 mEq ca IV slowly (max 0.7-1.8 mEq/min) as 10% gluconate solution, 2-10% chloride solution, or 22% gluceptate solution.
Cardiac arrest
Child: 0.27 mEq/kg Ca chloride IV. Repeat in 10 min prn, after ca levels known.
Adult: 0.027-0.054 mEq/kg chloride IV, 4.5-6.3 mEq gluceptate IV, or 2.3-3.7 mEq gluconate IV.
Hypocalcemia
Neonate: 50-150 mg/kg elem ca PO qd in divided doses. Max 1 gram/day.
Child: 45-65 mg/kg elem ca PO qd in divided doses.
Adult: 1-2 gram elem ca PO qd in divided doses.
Exchange transfusions
Neonate: 0.45 mEq IV after every 100 ml of citrated blood exchange.
Adult: 1.35 mEq IV with each 100-ml citrated blood exchange.
Hypocalcemic tetany
Neonate: 2.4 mEq/kg IV qd in divided doses until tetany controlled.
Child: 0.5-0.7 mEq/kg IV tid or qid until tetany controlled.
Adult: 4.5-16 mEq IV until response obtained. |