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calcium gluconate

calcium gluconate

Restricted Medications Cardiac Monitor (IV)

Drug Name	Form	Strength	Non-Formulary	Restricted	TX Sub	Notes
Calcium Gluconate	SOLUTION, INJECTABLE	100 mg/mL
Calcium Gluconate	SOLUTION, INTRAVENOUS	1gm/50mL;2gm/100mL

Display Replacement Preparations Class : 401200

Medication comments:

Per policy, these medications require cardiac and/or special monitoring. (KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes	CCU, OR, PACU, CCL, ED	PCU	2N (Tele)	1N (Tele), 3N (Tele)	Med/Surg (1N w/o Tele, 3N w/o Tele, 4N, 5N)	BirthPlace	SNF	ICS	OPS
calcium gluconate IV Infusion Key: If > 2 gm monitoring	Y	Y	Y	Y (≤ 2 gm)	Y (≤ 2 gm)	Y (≤ 2 gm)	Y (≤ 2 gm)	Y (≤ 2 gm)	Y (≤ 2 gm)

Per policy, orders for these non-formulary agents will be changed to formulary equivalents.
Non-Formulary Agent	Formulary Equivalent
calcium gluconate injection (in times of shortage)	calcium chloride injection with same elemental calcium dose (CaCl₂ 1 gm = Ca Gluconate 3 gm)

Adult Extravasation Management
calcium salts

Agent type:	Non-Chemotherapeutic
Vesicant/Irritant:	Vesicant
Local Care:	warm compress
Antidote:	Early/Acute extravasation: Hyaluronidase (200 units/mL) Delayed extravasation: Sodium thiosulfate
Antidote link(s):

Last updated: Jun. 18, 2025

UpToDate Lexidrug

Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556

This site is intended for the staff of Iredell Health System. While others may view accessible pages, Iredell Health System makes no warranty, express or implied, as to the use of this information outside of Iredell Health System. The content of this policy and procedure document serves as guidance to the delivery of quality patient care. Care providers are expected to exercise critical thinking and situational awareness skills, and in specific situations to take such action as is necessary for the delivery of quality patient care.