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Neonatal Intensive Care Drug Manual
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| bet | 94/654 | | Sana | 03.01.2022 | | Hajmi | 1,5 Mb. | | #14803 |
Dose – Special scenarios
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Not applicable.
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Maximum dose
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Oral – 5.5 mmol/kg
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Total cumulative dose
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Route
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Oral
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Preparation
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AUSPMAN suspension – no further dilution necessary
Caltrate, Cal-600: Calcium carbonate 1500mg (contains elemental calcium 600mg)
Crush and dissolve one tablet in 30 mL of water. This will give a solution containing 0.5 mmol/mL (20mg/mL). The relevant dose should be calculated and withdrawn by oral syringe immediately on complete dispersion of tablet (so as not to let dispersed liquid settle). Any remaining liquid should be discarded. Please refer to Appendix A.
Calcium Effervescent tablet: Dissolve one calcium 1000 mg effervescent tablet in 10 mL of sterile water to make a 100 mg/mL (2.5 mmol/mL) solution.
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Administration
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Do not administer with feeds as calcium can combine with phosphate in the milk decreasing absorption.
If required, calcium IV vials may be given orally (must be diluted at least 1:4 with sterile water).
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Monitoring
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Monitor calcium, phosphate and magnesium. Measurement of ionised calcium preferred over total calcium.
Correct hypomagnesaemia if present.
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