Implementation guide for interoperable medicines

This guidance is under active development by NHS England and content may be added or updated on a regular basis.

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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Calcium gluconate 10% 20mL
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<text value="Calcium gluconate 10% 20mL" />
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<value value="20" />
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<value value="10" />
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</strength>
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Glucose 5% 100mL
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<text value="Glucose 5% 100mL" />
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<value value="100" />
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<value value="5" />
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<code value="%" />
</numerator>
<value value="1" />
</denominator>
</strength>
</ingredient>
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Calcium gluconate 10% 20mL Glucose 5% 100mL
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<display value="Calcium gluconate 10% 20mL" />
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<display value="Glucose 5% 100mL" />
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</ingredient>
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<status value="active" />
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<reference value="Patient/UKCore-Patient-RichardSmith-Example" />
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<code value="5291005" />
<display value="Hypocalcaemia" />
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</reasonCode>
<text value="Continuous infusion - 120mL" />
<text value="May repeat until patient is asymptomatic" />
</additionalInstruction>
<duration value="10" />
<durationUnit value="min" />
</repeat>
</timing>
<system value="http://snomed.info/sct" />
<code value="47625008" />
<display value="Intravenous" />
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</route>
<system value="http://snomed.info/sct" />
<code value="261754007" />
<display value="Continuous infusion" />
</coding>
</method>
<value value="120" />
<unit value="millilitre" />
<system value="http://unitsofmeasure.org" />
<code value="mL" />
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<allowedBoolean value="false" />
</substitution>
</MedicationRequest>
</resource>
</entry>
</Bundle>
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Prescribing Event - Maintenance Dose

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MedicationRequest.dosageInstruction[0].doseAndRate[0].rate[0].code[0]ml/h
MedicationRequest

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