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Table 3 Calcium infusion adjustments: modified protocol

From: Regional citrate anticoagulation in hemodialysis: an observational study of safety, efficacy, and effect on calcium balance during routine care

  Systemic Intradialytic ionized calcium (mmol/L)
  Systemic <0.81 Systemic 0.81 ≤ 0.95 Systemic 0.96 ≤ 1.32 Systemic >1.32
Action Increase Ca infusion by 50 % Increase Ca infusion by 25 % No action Reduce calcium infusion by 25 %
Repeat [Caion] required in 30 min 30 min 2 h 30 min