![]() If topical and/or SC do not work, consider intra-arterial SC: 10% calcium gluconate, no more than 0.5 mL/cm² of skin do not use in digits If gel is unavailable, calcium gluconate gel can be made with a water-soluble lubricant (eg, K-Y Jelly), added to calcium gluconate solution or calcium gluconate powder (75 mL water-soluble lubricant plus 25 mL of 10% calcium gluconate or 100 mL of water-soluble lubricant plus 2.5 g of calcium gluconate) (Mckee 2014) Immediately irrigate skin with tap water lavage should occur immediately at hydrofluoric acid burn site for 15-30 minĪfter irrigation, apply calcium gluconate 2.5-5% gel to the affected area q30min initially, then q4hr afterwards for ~3-4 days Management of cardiac arrest only in presence of hyperkalemia, hypocalcemia, or hypermagnesemia (routine use for cardiac arrest not recommended, because it yields no improvement in survival)ġ.5-3 g IV over 2-5 minutes Hydrofluoric Acid Burn (Off-label) Monitor serum calcium q4-6hr to maintain serum calcium levels.Hypocalcemic tetany: 100-300 mg elemental calcium (~3 g calcium gluconate) IV over 5-10 minutes, followed by continuous IV infusion at 0.5 mg/kg/hr (may be increased to 2 mg/kg/hr).Without seizure or tetany: 0.5 mg/kg/hr IV may be increased to 2 mg/kg/hr not to exceed 3-4 g IV over 4 hours.PO: 1-3 g/day in divided doses oral repletion may be considered and administered on outpatient basis.Management of non-life-threatening symptoms. ![]() Treatment of conditions arising from calcium deficiency (eg, hypocalcemic tetany, hypoparathyroidism) Mild (ionized calcium 1-1.2 mmol/L)
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