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Calcium gluconate is used to treat conditions arising from calcium deficiencies such as hypocalcemic tetany, hypocalcemia related to hypoparathyrodism and hypocalcemia due to rapid growth or pregnancy. It is also used in the treatment of black widow spider bites to relieve muscle cramping and as an adjunct in the treatment of rickets, osteomalacia, lead colic and magnesium sulfate overdosage. Calcium gluconate has also been employed to decrease capillary permeability in allergic conditions, nonthrombocytopenic purpura and exudative dermatoses such as dermatitis herpetiformis and for pruritus of eruptions caused by certain drugs. In hyperkalemia, calcium gluconate may aid in antagonizing the cardiac toxicity provided the patient is not receiving digitalis therapy.
DOSAGE AND ADMINISTRATION
Calcium Gluconate should be administered intravenously either directly or by infusion. The dose is dependent upon the individual requirements of the patient. Calcium Gluconate may also be administered by intermittent infusion at a rate not exceeding 200 mg/min, or by continuous infusion.
DIRECTIONS FOR DISPENSING FROM 100 mL PHARMACY BULK PACKAGE - NOT FOR DIRECT INFUSION.
The 100 mL Pharmacy Bulk Package is for use in a Pharmacy Admixture Service only. The 100 mL Pharmacy Bulk Package should be suspended (inverted) by its IV hang label in a laminar flow hood or biological safety cabinet. Prior to entering a Pharmacy Bulk Package remove the flip-off seal and cleanse the rubber closure with a suitable antiseptic agent. Entry into the Pharmacy Bulk Package must be made with a sterile transfer set or other sterile dispensing device and the contents dispensed in aliquots using aseptic technique. Use of a syringe needle is not recommended as it may cause leakage. ANY UNUSED PORTION MUST BE DISCARDED WITHIN 4 HOURS AFTER INITIAL ENTRY. The date and the time initially opened should be recorded in the space provided on the Pharmacy Bulk Package label.
Adults: 500 mg - 2 grams (5-20 mL)
Children: 200-500 mg (2-5 mL)
Infants: not more than 200 mg (not more than 2 mL)
Calcium Gluconate Injection, USP 10%
|NDC 0517-3910-25||10%||10 mL Single Dose Vials packed in boxes of 25|
|NDC 0517-3950-25||10%||50 mL Single Dose Vials packed in boxes of 25|
|NDC 0517-3900-25||10%||100 mL Pharmacy Bulk Package packed in boxes of 25|
Supersaturated solutions are prone to precipitation.
NOTE: If crystallization has occurred, warming in a 60°C water bath for 15-30 minutes with occasional shaking, may dissolve the precipitate. Cool to body temperature before use. The injection must be clear at the time of use. Parenteral drug products should be inspected visually for particulate matter and discoloration, whenever solution and container permit.
No preservative added. Unused portion of vial should be discarded. Use only if solution is clear and seal intact.
Store at controlled room temperature 15º- 30ºC (59º- 86ºF) (See USP).
American Regent Laboratories, Inc. Shirley, NY 11967. Rev: 2/00This monograph has been modified to include the generic and brand name in many instances.
Last reviewed on RxList: 4/2/2009
Additional Calcium Gluconate Information
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