Calcium Gluconate continuous infusion
Clinical Scenario
The patient requires a loading dose of 20 ml Calcium Gluconate 10% in a diluent of 100 ml Glucose 5%.
Followed by a maintenance dose of Calcium gluconate 10% as a continuous infusion at a rate of 2 ml per hour via an intravenous central route.
Prescribing Event - Loading Dose
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| Bundle.id[0] | ff813874-3e56-4176-a666-e55a4c4a37d6 |
| Bundle.type[0] | collection |
| Bundle.entry[0].fullUrl[0] | Medication/0547f17f-7d46-4667-88a7-4c19a6d521d8 |
| Bundle.entry[0].resource[0].id[0] | 0547f17f-7d46-4667-88a7-4c19a6d521d8 |
| Bundle.entry[0].resource[0].meta[0].profile[0] | https://fhir.hl7.org.uk/StructureDefinition/UKCore-Medication |
| Bundle.entry[0].resource[0].code[0].text[0] | Calcium gluconate 10% 20mL |
| Bundle.entry[0].resource[0].amount[0].numerator[0].value[0] | 20 |
| Bundle.entry[0].resource[0].amount[0].numerator[0].unit[0] | mL |
| Bundle.entry[0].resource[0].amount[0].numerator[0].system[0] | http://unitsofmeasure.org |
| Bundle.entry[0].resource[0].amount[0].numerator[0].code[0] | mL |
| Bundle.entry[0].resource[0].amount[0].denominator[0].value[0] | 1 |
| Bundle.entry[0].resource[0].ingredient[0].item[0].coding[0].system[0] | https://dmd.nhs.uk |
| Bundle.entry[0].resource[0].ingredient[0].item[0].coding[0].code[0] | 53691001 |
| Bundle.entry[0].resource[0].ingredient[0].item[0].coding[0].display[0] | Calcium gluconate |
| Bundle.entry[0].resource[0].ingredient[0].strength[0].numerator[0].value[0] | 10 |
| Bundle.entry[0].resource[0].ingredient[0].strength[0].numerator[0].unit[0] | percent |
| Bundle.entry[0].resource[0].ingredient[0].strength[0].numerator[0].system[0] | http://unitsofmeasure.org |
| Bundle.entry[0].resource[0].ingredient[0].strength[0].numerator[0].code[0] | % |
| Bundle.entry[0].resource[0].ingredient[0].strength[0].denominator[0].value[0] | 1 |
| Bundle.entry[1].fullUrl[0] | Medication/aa3d3b67-e390-4b67-98ea-f7a04533f727 |
| Bundle.entry[1].resource[0].id[0] | aa3d3b67-e390-4b67-98ea-f7a04533f727 |
| Bundle.entry[1].resource[0].meta[0].profile[0] | https://fhir.hl7.org.uk/StructureDefinition/UKCore-Medication |
| Bundle.entry[1].resource[0].code[0].text[0] | Glucose 5% 100mL |
| Bundle.entry[1].resource[0].amount[0].numerator[0].value[0] | 100 |
| Bundle.entry[1].resource[0].amount[0].numerator[0].unit[0] | mL |
| Bundle.entry[1].resource[0].amount[0].numerator[0].system[0] | http://unitsofmeasure.org |
| Bundle.entry[1].resource[0].amount[0].numerator[0].code[0] | mL |
| Bundle.entry[1].resource[0].amount[0].denominator[0].value[0] | 1 |
| Bundle.entry[1].resource[0].ingredient[0].item[0].coding[0].system[0] | https://dmd.nhs.uk |
| Bundle.entry[1].resource[0].ingredient[0].item[0].coding[0].code[0] | 111138002 |
| Bundle.entry[1].resource[0].ingredient[0].item[0].coding[0].display[0] | Glucose |
| Bundle.entry[1].resource[0].ingredient[0].strength[0].numerator[0].value[0] | 5 |
| Bundle.entry[1].resource[0].ingredient[0].strength[0].numerator[0].unit[0] | % |
| Bundle.entry[1].resource[0].ingredient[0].strength[0].numerator[0].system[0] | http://unitsofmeasure.org |
| Bundle.entry[1].resource[0].ingredient[0].strength[0].numerator[0].code[0] | % |
| Bundle.entry[1].resource[0].ingredient[0].strength[0].denominator[0].value[0] | 1 |
| Bundle.entry[2].fullUrl[0] | Medication/72c5dfc7-e865-436c-b67a-937c10ec14b9 |
| Bundle.entry[2].resource[0].id[0] | 72c5dfc7-e865-436c-b67a-937c10ec14b9 |
| Bundle.entry[2].resource[0].meta[0].profile[0] | https://fhir.hl7.org.uk/StructureDefinition/UKCore-Medication |
| Bundle.entry[2].resource[0].code[0].text[0] | Calcium gluconate 10% 20mL Glucose 5% 100mL |
| Bundle.entry[2].resource[0].ingredient[0].item[0].reference[0] | Medication/0547f17f-7d46-4667-88a7-4c19a6d521d8 |
| Bundle.entry[2].resource[0].ingredient[0].item[0].display[0] | Calcium gluconate 10% 20mL |
| Bundle.entry[2].resource[0].ingredient[1].item[0].reference[0] | Medication/aa3d3b67-e390-4b67-98ea-f7a04533f727 |
| Bundle.entry[2].resource[0].ingredient[1].item[0].display[0] | Glucose 5% 100mL |
| Bundle.entry[3].fullUrl[0] | MedicationRequest/bd4cbd2e-99af-4deb-a2bc-e1b1fc804120 |
| Bundle.entry[3].resource[0].id[0] | bd4cbd2e-99af-4deb-a2bc-e1b1fc804120 |
| Bundle.entry[3].resource[0].meta[0].profile[0] | https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest |
| Bundle.entry[3].resource[0].status[0] | active |
| Bundle.entry[3].resource[0].intent[0] | order |
| Bundle.entry[3].resource[0].medication[0].reference[0] | Medication/72c5dfc7-e865-436c-b67a-937c10ec14b9 |
| Bundle.entry[3].resource[0].medication[0].display[0] | Calcium gluconate 10% 20mL Glucose 5% 100mL |
| Bundle.entry[3].resource[0].subject[0].reference[0] | Patient/UKCore-Patient-RichardSmith-Example |
| Bundle.entry[3].resource[0].reasonCode[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[3].resource[0].reasonCode[0].coding[0].code[0] | 5291005 |
| Bundle.entry[3].resource[0].reasonCode[0].coding[0].display[0] | Hypocalcaemia |
| Bundle.entry[3].resource[0].dosageInstruction[0].text[0] | Continuous infusion - 120mL |
| Bundle.entry[3].resource[0].dosageInstruction[0].additionalInstruction[0].text[0] | May repeat until patient is asymptomatic |
| Bundle.entry[3].resource[0].dosageInstruction[0].timing[0].repeat[0].duration[0] | 10 |
| Bundle.entry[3].resource[0].dosageInstruction[0].timing[0].repeat[0].durationUnit[0] | min |
| Bundle.entry[3].resource[0].dosageInstruction[0].route[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[3].resource[0].dosageInstruction[0].route[0].coding[0].code[0] | 47625008 |
| Bundle.entry[3].resource[0].dosageInstruction[0].route[0].coding[0].display[0] | Intravenous |
| Bundle.entry[3].resource[0].dosageInstruction[0].method[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[3].resource[0].dosageInstruction[0].method[0].coding[0].code[0] | 261754007 |
| Bundle.entry[3].resource[0].dosageInstruction[0].method[0].coding[0].display[0] | Continuous infusion |
| Bundle.entry[3].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].value[0] | 120 |
| Bundle.entry[3].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].unit[0] | millilitre |
| Bundle.entry[3].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].system[0] | http://unitsofmeasure.org |
| Bundle.entry[3].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].code[0] | mL |
| Bundle.entry[3].resource[0].substitution[0].allowed[0] | False |
| Bundle |
| id : ff813874-3e56-4176-a666-e55a4c4a37d6 |
| type : collection |
| entry |
| fullUrl : Medication/0547f17f-7d46-4667-88a7-4c19a6d521d8 |
| resource |
| id : 0547f17f-7d46-4667-88a7-4c19a6d521d8 |
| meta |
| profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Medication |
| code |
| text : Calcium gluconate 10% 20mL |
| amount |
| numerator |
| value : 20 |
| unit : mL |
| system : http://unitsofmeasure.org |
| code : mL |
| denominator |
| value : 1 |
| ingredient |
| item |
| coding |
| system : https://dmd.nhs.uk |
| code : 53691001 |
| display : Calcium gluconate |
| strength |
| numerator |
| value : 10 |
| unit : percent |
| system : http://unitsofmeasure.org |
| code : % |
| denominator |
| value : 1 |
| entry |
| fullUrl : Medication/aa3d3b67-e390-4b67-98ea-f7a04533f727 |
| resource |
| id : aa3d3b67-e390-4b67-98ea-f7a04533f727 |
| meta |
| profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Medication |
| code |
| text : Glucose 5% 100mL |
| amount |
| numerator |
| value : 100 |
| unit : mL |
| system : http://unitsofmeasure.org |
| code : mL |
| denominator |
| value : 1 |
| ingredient |
| item |
| coding |
| system : https://dmd.nhs.uk |
| code : 111138002 |
| display : Glucose |
| strength |
| numerator |
| value : 5 |
| unit : % |
| system : http://unitsofmeasure.org |
| code : % |
| denominator |
| value : 1 |
| entry |
| fullUrl : Medication/72c5dfc7-e865-436c-b67a-937c10ec14b9 |
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| id : 72c5dfc7-e865-436c-b67a-937c10ec14b9 |
| meta |
| profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Medication |
| code |
| text : Calcium gluconate 10% 20mL Glucose 5% 100mL |
| ingredient |
| item |
| reference : Medication/0547f17f-7d46-4667-88a7-4c19a6d521d8 |
| display : Calcium gluconate 10% 20mL |
| ingredient |
| item |
| reference : Medication/aa3d3b67-e390-4b67-98ea-f7a04533f727 |
| display : Glucose 5% 100mL |
| entry |
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| resource |
| id : bd4cbd2e-99af-4deb-a2bc-e1b1fc804120 |
| meta |
| profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest |
| status : active |
| intent : order |
| medication |
| reference : Medication/72c5dfc7-e865-436c-b67a-937c10ec14b9 |
| display : Calcium gluconate 10% 20mL Glucose 5% 100mL |
| subject |
| reference : Patient/UKCore-Patient-RichardSmith-Example |
| reasonCode |
| coding |
| system : http://snomed.info/sct |
| code : 5291005 |
| display : Hypocalcaemia |
| dosageInstruction |
| text : Continuous infusion - 120mL |
| additionalInstruction |
| text : May repeat until patient is asymptomatic |
| timing |
| repeat |
| duration : 10 |
| durationUnit : min |
| route |
| coding |
| system : http://snomed.info/sct |
| code : 47625008 |
| display : Intravenous |
| method |
| coding |
| system : http://snomed.info/sct |
| code : 261754007 |
| display : Continuous infusion |
| doseAndRate |
| dose |
| value : 120 |
| unit : millilitre |
| system : http://unitsofmeasure.org |
| code : mL |
| substitution |
| allowed : False |
Prescribing Event - Maintenance Dose
</meta>
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| MedicationRequest.id[0] | 34eb3c92-76e6-48c2-9691-aa1f0b58369b |
| MedicationRequest.meta[0].profile[0] | https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest |
| MedicationRequest.status[0] | active |
| MedicationRequest.intent[0] | order |
| MedicationRequest.medication[0].coding[0].system[0] | https://dmd.nhs.uk |
| MedicationRequest.medication[0].coding[0].code[0] | 33456711000001109 |
| MedicationRequest.medication[0].coding[0].display[0] | Calcium gluconate 10% solution for injection 50ml vials |
| MedicationRequest.subject[0].reference[0] | Patient/UKCore-Patient-RichardSmith-Example |
| MedicationRequest.reasonCode[0].coding[0].system[0] | http://snomed.info/sct |
| MedicationRequest.reasonCode[0].coding[0].code[0] | 5291005 |
| MedicationRequest.reasonCode[0].coding[0].display[0] | Hypocalcemia |
| MedicationRequest.dosageInstruction[0].text[0] | Continuous infusion 2 millilitre per hour - Intravenous central route |
| MedicationRequest.dosageInstruction[0].route[0].coding[0].system[0] | http://snomed.info/sct |
| MedicationRequest.dosageInstruction[0].route[0].coding[0].code[0] | 418114005 |
| MedicationRequest.dosageInstruction[0].route[0].coding[0].display[0] | Intravenous central route |
| MedicationRequest.dosageInstruction[0].method[0].coding[0].system[0] | http://snomed.info/sct |
| MedicationRequest.dosageInstruction[0].method[0].coding[0].code[0] | 261754007 |
| MedicationRequest.dosageInstruction[0].method[0].coding[0].display[0] | Continuous infusion |
| MedicationRequest.dosageInstruction[0].doseAndRate[0].rate[0].value[0] | 2 |
| MedicationRequest.dosageInstruction[0].doseAndRate[0].rate[0].unit[0] | millilitre per hour |
| MedicationRequest.dosageInstruction[0].doseAndRate[0].rate[0].system[0] | http://unitsofmeasure.org |
| MedicationRequest.dosageInstruction[0].doseAndRate[0].rate[0].code[0] | ml/h |
| MedicationRequest |
| id : 34eb3c92-76e6-48c2-9691-aa1f0b58369b |
| meta |
| profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest |
| status : active |
| intent : order |
| subject |
| reference : Patient/UKCore-Patient-RichardSmith-Example |
| medication |
| coding |
| system : https://dmd.nhs.uk |
| code : 33456711000001109 |
| display : Calcium gluconate 10% solution for injection 50ml vials |
| reasonCode |
| coding |
| system : http://snomed.info/sct |
| code : 5291005 |
| display : Hypocalcemia |
| dosageInstruction |
| text : Continuous infusion 2 millilitre per hour - Intravenous central route |
| method |
| coding |
| system : http://snomed.info/sct |
| code : 261754007 |
| display : Continuous infusion |
| route |
| coding |
| system : http://snomed.info/sct |
| code : 418114005 |
| display : Intravenous central route |
| doseAndRate |
| rate |
| value : 2 |
| unit : millilitre per hour |
| system : http://unitsofmeasure.org |
| code : ml/h |