Section 8 - MEDICATION GUIDELINES
- It may increase myocardial contractile force and may increase ventricular automaticity.
- To counteract Magnesium Sulfate used in Eclampsia, hyperkalemia, and hypocalcemia.
- It may precipitate toxicity in patients taking Digitalis.
- Ensure the IV line is flushed before using Calcium Chloride.
- 5 - 7 mg / kg AND per physician's orders. Refer to the Handtevy System WMD protocol page for dosage.
- It is an anticonvulsant, especially effective in the control of seizures associated with eclampsia.
- Seizures due to eclampsia (toxemia of pregnancy), consider contacting MEDICAL CONTROL for orders for Torsades de pointes.
- Patients with heart block or recent myocardial infarction.
- May cause hypotension, circulatory collapse, or cardiac and respiratory depression. Calcium Chloride should be available to counteract the untoward effects of Magnesium.
- Refer to appropriate PRACTICE PARAMETER for specific dosages.
- Refer to Handtevy System infusion instructions for dosage.
Sodium Bicarbonate (NaHCO3)
- It provides bicarbonate to assist the buffer system in reducing the effects of acidosis.
- None when used in severe hypoxia or late Cardiac Arrest.
- May cause alkalosis if administered too aggressively.
- It may also deactivate vasopressors, and may precipitate with Calcium Chloride.
- Refer to appropriate PRACTICE PARAMETER for specific dosages AND per physician's orders.
- Refer to Handtevy System for pediatric dosage.