Mfrdmanager: Protected "Electrolytes" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

2018-02-10T17:27:49Z

Protected "Electrolytes" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "==Section 8 - MEDICATION GUIDELINES== ===8.14 ELECTROLYTES=== ====Calcium Chloride==== '''DESCRIPTION''' * It may increase myocardial contractile force and may increase ventr..."

2018-02-10T17:27:43Z

Created page with "==Section 8 - MEDICATION GUIDELINES== ===8.14 ELECTROLYTES=== ====Calcium Chloride==== '''DESCRIPTION''' * It may increase myocardial contractile force and may increase ventr..."

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==Section 8 - MEDICATION GUIDELINES==
===8.14 ELECTROLYTES===

====Calcium Chloride====
'''DESCRIPTION'''
* It may increase myocardial contractile force and may increase ventricular automaticity.
'''INDICATIONS'''
* To counteract Magnesium Sulfate used in [[Pregnancy Induced Hypertension (PIH)|Eclampsia]], hyperkalemia, and hypocalcemia.
'''CONTRAINDICATIONS'''
* It may precipitate toxicity in patients taking Digitalis.
'''PRECAUTIONS'''
* Ensure the IV line is flushed before using Calcium Chloride.
'''DOSAGE'''
* 5 - 7 mg / kg AND per physician's orders. Refer to the Handtevy System WMD protocol page for dosage.

====Magnesium Sulfate====
'''DESCRIPTION'''
* It is an anticonvulsant, especially effective in the control of seizures associated with eclampsia.
'''INDICATIONS'''
* Seizures due to [[Pregnancy Induced Hypertension (PIH)|eclampsia]] (toxemia of pregnancy), consider contacting MEDICAL CONTROL for orders for Torsades de pointes.
'''CONTRAINDICATIONS'''
* Patients with heart block or recent myocardial infarction.
'''PRECAUTIONS'''
* May cause hypotension, circulatory collapse, or cardiac and respiratory depression. Calcium Chloride should be available to counteract the untoward effects of Magnesium.
'''DOSAGE'''
* Refer to appropriate PRACTICE PARAMETER for specific dosages.
* Refer to Handtevy System infusion instructions for dosage.

====Sodium Bicarbonate (NaHCO3)====
'''DESCRIPTION'''
* It provides bicarbonate to assist the buffer system in reducing the effects of acidosis.
'''INDICATIONS'''
* Crush Syndrome, severe acidosis, prolonged [[Asystole|cardiac arrest]], and [[Drug Overdose Poisoning|tricyclic anti-depressant overdose]].
'''CONTRAINDICATIONS'''
* None when used in severe hypoxia or late Cardiac Arrest.
'''PRECAUTIONS'''
* May cause alkalosis if administered too aggressively.
* It may also deactivate vasopressors, and may precipitate with Calcium Chloride.
'''DOSAGE'''
* Refer to appropriate PRACTICE PARAMETER for specific dosages AND per physician's orders.
* Refer to Handtevy System for pediatric dosage.

[[Category:Medication Guidelines|0814]]

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Electrolytes - Revision history

Mfrdmanager: Protected "Electrolytes" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "==Section 8 - MEDICATION GUIDELINES== ===8.14 ELECTROLYTES=== ====Calcium Chloride==== '''DESCRIPTION''' * It may increase myocardial contractile force and may increase ventr..."