Calcium gluconate - a drug that affects the tissue metabolism.
Mode of action of calcium gluconate
Calcium gluconate fills a calcium deficiency - substances necessary for the formation of bone tissue, reducing the smooth, skeletal muscle, nerve impulse transmission, activities myocardial blood clotting.
Use of calcium gluconate has minimal irritant effect than calcium chloride.
The drug release tablets, powders, solutions.
Calcium gluconate according to the instructions prescribed for diseases involving hypocalcemia, increased permeability of cell membranes, nerve impulse conduction disturbance in the muscles.
Also, the use of calcium gluconate is indicated in hypoparathyroidism, disturbances of metabolism of vitamin D (hyperphosphataemia in chronic renal failure, rickets), increased elimination of calcium during prolonged bed rest, chronic diarrhea, hypocalcemia secondary, caused by long-term use of diuretics, corticosteroids, antiepileptics.
Bleeding different etiology, allergic diseases (fever, serum sickness, urticaria, pruritus, itching dermatosis, reactions to medicines, foods, angioneurotic edema), bronchial asthma, degenerative nutritional edema, pulmonary tuberculosis, lead colic, eclampsia, poisoning salts of magnesium fluoride , oxalic acids and their salts, parenchymal hepatitis, liver disease toxic nature, periodic paralysis giperkaliemicheskoy forms are also indications for the use of calcium gluconate.
Effective calcium gluconate during pregnancy, during lactation, increased growth, post-menopausal period at the diet with calcium deficiency.
Instructions for use of calcium gluconate
Calcium gyukonat tablets taken before meals or through 1-1, 5 hours after the meal. Washed down with milk tablets. Adults take one to three grams 2-3 p / day. Children under one year give 0, 5 grams of the drug, at the age of 2-4 years - 1 g, 5-6 years - 1-1, 5 grams, 7-9 years - 1, 5-2 g, 10-14 years - 2-3 c. Calcium gluconate tablets children are given 2-3 p / day.
Calcium gluconate during pregnancy, during lactation administered one to three grams 2-3 r / day.
Do not take more than 9 g of calcium gluconate per day.
Intravenous drug should be administered slowly, as well as injections of calcium gluconate - they are made for two or three minutes. Adults are injected 5-10 ml of a 10% solution every day, one day or two days.
Babies calcium gluconate intramuscular injections do not (because of the risk of tissue necrosis), the drug is administered intravenously only (slow drip) - 1-5 ml of 10% solution every two or three days.
Before the introduction of the solution should be warmed to normal body temperature.
Funds for internal use can cause gastrointestinal irritation, constipation. With the introduction of the solution intramuscularly, intravenously may appear diarrhea, vomiting, bradycardia, nausea.
Also, when administered intravenously, may appear a burning sensation in the mouth, a general feeling of heat, pressure may be reduced with the rapid introduction, develop arrhythmia, heart stopped, the patient may faint.
If intramuscular injections of calcium gluconate may receive tissue necrosis at the injection site.
Overdose causes the development of hypercalcemia, which is introduced to eliminate the calcitonin - 5-10ME per kilogram body weight per day.
Contraindications to the use of calcium gluconate
According to the instructions of calcium gluconate is contraindicated in hypercalcemia, hypercalciuria severe, hypersensitivity nefrourolitiaze, sarcoidosis. It is impossible to simultaneously take the drug with cardiac glycosides because of the risk of arrhythmias.
Caution when using the drug should be exercised in patients with dehydration, electrolyte disturbances, diarrhea, malabsorption syndrome, nefrourolitiaze calcium, low hypercalciuria, moderate renal, cardiac insufficiency chronic, widespread atherosclerosis, hypercoagulability.