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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<code>
<text value="Calcium gluconate 10% 20mL" />
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<system value="https://dmd.nhs.uk" />
<code value="53691001" />
<display value="Calcium gluconate" />
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<strength>
<numerator>
<value value="10" />
<unit value="%" />
<system value="http://unitsofmeasure.org" />
<code value="%" />
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<Medication>
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</meta>
<text>
<status value="generated" />
Glucose 5% 100mL
</text>
<code>
<text value="Glucose 5% 100mL" />
</code>
<amount>
<numerator>
<value value="100" />
<unit value="mL" />
<system value="http://unitsofmeasure.org" />
<code value="mL" />
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<system value="https://dmd.nhs.uk" />
<code value="111138002" />
<display value="Glucose" />
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<strength>
<numerator>
<value value="5" />
<unit value="%" />
<system value="http://unitsofmeasure.org" />
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<denominator>
<value value="1" />
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<text>
<status value="generated" />
Calcium gluconate 10% 20mL Glucose 5% 100mL
</text>
<code>
<text value="Calcium gluconate 10% 20mL Glucose 5% 100mL" />
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<ingredient>
<itemReference>
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<display value="Calcium gluconate 10% 20mL" />
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<status value="active" />
<intent value="order" />
<medicationReference>
<reference value="Medication/72c5dfc7-e865-436c-b67a-937c10ec14b9" />
<display value="Calcium gluconate 10% 20mL Glucose 5% 100mL" />
</medicationReference>
<subject>
<reference value="Patient/UKCore-Patient-RichardSmith-Example" />
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<reasonCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="5291005" />
<display value="Hypocalcaemia" />
</coding>
</reasonCode>
<dosageInstruction>
<text value="Continuous infusion - 120mL" />
<additionalInstruction>
<text value="May repeat until patient is asymptomatic" />
</additionalInstruction>
<timing>
<repeat>
<duration value="10" />
<durationUnit value="min" />
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<code value="47625008" />
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<coding>
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<code value="261754007" />
<display value="Continuous infusion" />
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<doseAndRate>
<doseQuantity>
<value value="120" />
<unit value="millilitre" />
<system value="http://unitsofmeasure.org" />
<code value="mL" />
</doseQuantity>
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<substitution>
<allowedBoolean value="false" />
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Bundle

Prescribing Event - Maintenance Dose

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MedicationRequest
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