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

  • Mateusz Putowski
    Correspondence
    Corresponding author.
    Affiliations
    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
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  • Jerzy Jaskuła
    Affiliations
    Center for Innovative Medical Education, Jagiellonian University Medical College, Krakow, Poland

    Anaesthesiology and Intensive Care Clinical Department, The University Hospital in Krakow, Krakow, Poland
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  • Jarosław Woroń
    Affiliations
    Anaesthesiology and Intensive Care Clinical Department, The University Hospital in Krakow, Krakow, Poland

    Department of Clinical Pharmacology, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland
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      Abstract

      European 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.
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