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Table 3 Calcium Gluconate 10% Infusion

From: Simple citrate anticoagulation protocol for low flux haemodialysis

Point A: Systemic iCa2+ Level

Calcium Gluconate Infusion

<0.65 mM

Notify doctor. Terminate citrate infusion and change to heparin free dialysis.

Give 40 ml bolus over 30 mins

0.65–0.74 mM

Give 20 ml bolus over 30 mins and increase infusion by 20 ml/h

0.75–0.9 mM

Increase infusion by 20 ml/h

0.91–1.2 mM

Infuse at 70 ml/h

>1.2 mM

Hold infusion for 30 mins and recheck