Table 4.

Rate change of 136 mM CaCl₂ in 0.9% saline based on systemic ionized Ca every 6 h: GOAL 1.3 (1.2–1.4) mM

Current Ca-Infusion Flow Rate, ml/h	The Patient’s Ionized Calcium Level Checked Every 6 h
	<1.1 mmol/L	1.1–1.19 mmol/L	1.2–1.4 mmol/L	1.41–1.55 mmol/L	>1.55 mmol/L
	Increase Rate +20%; Notify ICU and Nephro Fellows	Increase Rate +10%	No Change	Reduce Rate −10%	Reduce Rate −20%; Notify ICU and Nephro Fellows
≤15	+2	+1	No change	−1	−2
16–25	+4	+2	No change	−2	−4
26–35	+6	+3	No change	−3	−6
36–45	+8	+4	No change	−4	−8
46–55	+10	+5	No change	−5	−10
56–65	+12	+6	No change	−6	−12
66–75	+14	+7	No change	−7	−14
76–85	+16	+8	No change	−8	−16
86–95	+18	+9	No change	−9	−18
96–105	+20	+10	No change	−10	−20