Calcium replacement (gluconate / chloride + elemental Ca)

IV calcium product math: elemental calcium (mg and mEq) delivered by a gluconate or chloride dose, and the equivalent dose of the other salt.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Calcium product
Calcium gluconate 10%
Dose
1 g
Indication
Hyperkalemia (membrane stabilization)

Result: 1 g calcium gluconate 10% (10 mL) = 93 mg (4.6 mEq) elemental calcium = 0.34 g calcium chloride 10% (3.4 mL).

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Calcium product
  • Dose (g of salt)
  • Indication
How this is calculated

Citation

AHA ACLS 2020 (Panchal, Circulation 2020;142:S366) for hyperkalemia calcium. Elemental calcium, dose ranges and maximum rates: the calcium gluconate (9.3 mg/mL) and calcium chloride (27 mg/mL) injection labels, so chloride carries about 3x the calcium per gram. Read the sources: AHA ACLS 2020 ↗, Calcium gluconate label ↗, Calcium chloride label ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

Browse all tools

Built by Clay Good. Source on GitHub.