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Table 6 Adjustment scheme for the iCa supplemental infusion

From: Management of regional citrate anticoagulation for continuous renal replacement therapy: guideline recommendations from Chinese emergency medical doctor consensus

In vivo iCa (mmol/L)

5% calcium chloride

10% calcium gluconate

≥ 1.2

Reduce 2 ml/h

Reduce 3 ml/h

≥ 1.0

Reduce 1 ml/h

Reduce 1.5 ml/h

≥ 0.9

Unchanged

Unchanged

≥ 0.8

Increase 1 ml/h

Increase 1.5 ml/h

< 0.8

After 0.1 ml/kg IV, increase 2 ml/h

After 0.15 ml/kg IV, increase 3 ml/h

  1. iCa should be measured in vivo (sampling from artery or vein) or at the access end of the extracorporeal circulation circuit. IV intravenous injection, iCa ionized calcium