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calcium gluconate HIGH ALERT

Electrolyte
What it's for

Hypocalcemia, hyperkalemia cardiac protection, mag toxicity

Nursing considerations
  • First drug for hyperkalemia with ECG changes — protects the heart, doesn't lower K
  • Slow IV on a pump — extravasation injures tissue
  • Post-thyroidectomy tingling = have it ready
Key side effects
Bradycardia (fast push)Extravasation injuryFlushing
📈 Watch

ECG, site, Ca level

Source: Generic names only, per NCSBN convention. Primary sources: Lehne's Pharmacology for Nursing Care, 11th ed.; Davis's Drug Guide for Nurses. Educational reference — verify every medication decision against your facility's formulary, pharmacy, and the prescriber. Doses shown are typical adult references, not recommendations.Reference only — verify against your facility's policy.

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