• Resuscitation · Dec 2022

    The amount of calcium in calcium chloride - is there a need to clarify emergency treatment of hyperkalaemia algorithm?

    • Mateusz Putowski, Jerzy Jaskuła, and Jarosław Woroń.
    • Collegium Medicum Jan Kochanowski University, Kielce, Poland; Center for Innovative Medical Education, Jagiellonian University Medical College, Krakow, Poland; Anaesthesiology and Intensive Care Clinical Department, The University Hospital in Krakow, Krakow, Poland. Electronic address: mateusz.putowski@ujk.edu.pl.
    • Resuscitation. 2022 Dec 1; 181: 158159158-159.

    AbstractEuropean Resuscitation Council (ERC) and American Heart Association (AHA) guidelines emphasize a rapid administration of calcium chloride (10 ml 10 % CaCl2) to protect the myocardium in the hyperkalaemia algorithm. However, calcium chloride preparations available in European markets vary from country to country. In our opinion, the drug dose recommended in the guidelines should not raise questions about the volume and amount of calcium in the intravenous supply and should be unambiguous to minimize the risk of error. Calcium dose should be given in terms of mmol/L or mEq or mg of calcium ions.Copyright © 2022 Elsevier B.V. All rights reserved.

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