Table 4 136 mM CaCl2 Infusion Rate Change Based on Systemic iCa Every 6 h: GOAL Systemic iCa 1.3 mmol/L
The patient’s ionized calcium level checked every 6 h | |||||
|---|---|---|---|---|---|
Less than < 1.1 mmol/L | 1.1–1.19 mmol/L | 1.2–1.4 mmol/L | 1.41–1.55 mmol/L | More than > 1.55 mmol/L | |
Current Ca-infusion Flow Rate mL/h | Increase Rate + 20%; notify ICU and Nephro fellows | Increase Rate + 10% | No Change | Reduce Rate −10% | Reduce Rate − 20%; notify ICU and Nephro fellows |
<=15 | + 2 ml/h | + 1 ml/h | No change | −1 ml/h | −2 ml/h |
16–25 | + 4 ml/h | + 2 ml/h | No change | − 2 ml/h | − 4 ml/h |
26–35 | + 6 ml/h | + 3 ml/h | No change | −3 ml/h | − 6 ml/h |
36–45 | + 8 ml/h | + 4 ml/h | No change | − 4 ml/h | −8 ml/h |
46–55 | + 10 ml/h | + 5 ml/h | No change | − 5 ml/h | − 10 ml/h |
56–65 | + 12 ml/h | + 6 ml/h | No change | − 6 ml/h | − 12 ml/h |
66–75 | + 14 ml/h | + 7 ml/h | No change | − 7 ml/h | − 14 ml/h |
76–85 | + 16 ml/h | + 8 ml/h | No change | −8 ml/h | − 16 ml/h |
86–95 | + 18 ml/h | + 9 ml/h | No change | − 9 ml/h | −18 ml/h |
96–105 | + 20 ml/h | + 10 ml/h | No change | − 10 ml/h | − 20 ml/h |