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Calcium gluconate 10%

Pregnancy & gynaecology-specific. Every dose row is source-referenced; verify against institutional protocols.

Calcium gluconate 10%EMERGENCY KITElectrolyte antidote

Regimens checked: 2026-10-17. Each indication has its own preparation, limits and safety checks.

Calcium gluconate 10%: indication-specific regimens
IndicationDoseRouteFrequencyDuration / preparationMaximumMonitoring / cautions
Antidote for clinically significant magnesium toxicity
1 g (10 mL of 10% solution) slowly
IV
Initial antidote dose; reassess breathing, ECG and calcium before further dosing
Emergency reversal; stop magnesium and support the airway concurrently · 10% = 100 mg/mL; 10 mL contains 1 g calcium gluconate, NOT 1 g elemental calcium. Give over at least 5 min through a patent IV line; do not mix with other drugs
No automatic repeated-dose course; further calcium requires monitored reassessment
Monitor
  • Continuous ECG/heart rate; respiratory status, reflexes and injection site; serum calcium/magnesium where available
Contraindications / cautions
  • Extravasation can cause tissue injury; take special care with digoxin
  • Do not confuse calcium gluconate with calcium chloride
Clinically important hypocalcaemia during major transfusion, guided by ionised calcium and physiology
1 g (10 mL of 10% solution) slowly
IV
Initial dose followed by ionised-calcium/ECG reassessment; titrate further replacement to the monitored result
During the acute deficit and ongoing citrate exposure; stop/reduce when ionised calcium normalises · 10% = 100 mg/mL; 10 mL contains 1 g calcium gluconate, NOT 1 g elemental calcium. Give over at least 5 min through a patent IV line; do not mix with other drugs
No fixed every-four-units schedule: reassess calcium and prescribe further doses explicitly
Monitor
  • Continuous ECG/heart rate; respiratory status, reflexes and injection site; serum calcium/magnesium where available
Contraindications / cautions
  • Extravasation can cause tissue injury; take special care with digoxin
  • Do not confuse calcium gluconate with calcium chloride
Pregnancy safety
Life-saving antidote
Lactation
n/a
MSFcheckedIN REVIEW