- 1 gram of calcium gluconate contains 93 mg elemental calcium (4.65 mEq calcium).
Hypocalcemia (dosed as calcium gluconate)
- PO (Adults ): 0.5–2 g daily in 2–4 divided doses.
- PO (Children and Infants): 500–725 mg/kg/day in 3–4 divided doses.
- PO (Neonates ): 500–1500 mg/kg/day in 4–6 divided doses.
- IV (Adults ): 1–2 g initially, then give subsequent doses, if needed, as 1–2 g every 6 hr or as a continuous infusion of 5.4–21.5 mg/kg/hr.
- IV (Children and Infants): Initial dose of 29–60 mg/kg; then give subsequent doses, if needed, as 29–60 mg/kg every 6 hr or as a continuous infusion of 8–13 mg/kg/hr.
- IV (Neonates ): Initial dose of 100–200 mg/kg; then give subsequent doses, if needed, as 100–200 mg/kg every 6 hr or as a continuous infusion of 17–33 mg/kg/hr. .
Cardiac Arrest and Calcium Channel Blocker Toxicity (dosed as calcium gluconate)
- IV (Adults ): 500–800 mg (maximum 3 g/dose).
- IV (Children , Infants, and Neonates): 60–100 mg/kg/dose (maximum 3 g/dose).
Tetany (dosed as calcium gluconate)
- IV (Adults ): 1–3 g may be administered until a response occurs.
- IV (Children , Infants, and Neonates): 100–200 mg/kg/dose over 5–10 min, may repeat after 6 hr or continuous infusion up to 500 mg/kg/day.