Calcium chloride and alcohol; effect of therapeutic doses of calcium chloride on the clinical stage of alcoholic intoxication and on blood alcohol.
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Alcoholic Intoxication↗
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Choice of calcium salt. A comparison of the effects of calcium chloride and gluconate on plasma ionized calcium.
Equimolar quantities of calcium chloride and calcium gluconate produced similar changes in plasma ionised calcium concentration when injected intravenously into anaesthetised ferrets or when added to human blood in vitro. In vivo changes were followed with a calcium electrode positioned in the animal's aorta, and this showed that the ionisation of calcium gluconate on its first pass through the circulation is as great as that of calcium chloride. This does not support the common suggestion that calcium chloride is preferable to calcium gluconate because of its greater ionisation.
Animals↗
[Ammonium chloride and the calcium chloride loading test for the diagnosis of renal tubular acidosis].
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Acidosis, Renal Tubular↗
Effectiveness of calcium chloride in increasing blood calcium concentrations of periparturient dairy cows.
Calcium chloride supplements such as gels and drench were studied to determine their effectiveness for increasing blood serum Ca concentrations in periparturient dairy cows. Multiparous, pregnant Holstein dairy cows (n = 36) were assigned to one of four treatments. After calving, cows in four treatments received basal diet and two doses of either control inert gel (CON), gel containing CaCl2 and vitamins (CVG), gel containing CaCl2 and minerals (CMG), or CaCl2 as drench containing vitamins (CVD). The first dose was given within 2 h after calving and the second dose 12 h after the first dose. Each dose provided .07, 54.5, 56.0, and 33.2 g of elemental Ca in CON, CVG, CMG, and CVD treatments, respectively. Blood samples were collected at 0, 15, 30, 60, 180, and 360 min after each oral dose. The blood serum Ca concentrations were 6.26, 7.56, 6.20, and 5.96 mg/dL during the pretreatment period and deviated -13.5, 7.1, 9.3, and 18.1% from pretreatment levels at 18 h after the first dose in CON, CVG, CMG, and CVD treatments, respectively. The average changes in serum P from pretreatment levels were not different among treatments. Serum Mg concentrations remained below the pretreatment levels in all four treatments. Blood serum beta-hydroxybutyrate during the first 2 wk and milk yields during the first 4 wk of lactation were the same in all treatments. Three cases of clinical milk fever were observed in CON treatment and one case in CVD treatment. The oral supplements of CaCl2 as gel or drench increased the blood Ca levels in periparturient dairy cows. Increased supply of Ca through oral supplements of CaCl2 may prevent milk fever in cows that are marginally hypocalcemic.
Administration, Oral↗
Inhibitory effect of calcium chloride on gastric carcinogenesis in rats after treatment with N-methyl-N'-nitro-N-nitrosoguanidine and sodium chloride.
The effects of calcium chloride on glandular stomach carcinogenesis induced by N-methyl-N'-nitro-N-nitrosoguanidine (MNNG) and sodium chloride were investigated in male outbred Wistar rats. Animals were given MNNG solution (100 p.p.m.) as drinking water and simultaneously fed a diet supplemented with 5% sodium chloride for 8 weeks. Matched negative controls received neither MNNG nor sodium chloride. Rats were then fed basal diet and given calcium chloride solution (1 or 0.2%) or tap water for the following 52 weeks. The incidences and multiplicities of preneoplastic hyperplasias in the glandular stomachs of rats given MNNG/sodium chloride followed by 1 and 0.2% calcium chloride were significantly lower than those in rats given MNNG/sodium chloride alone. The inhibitory effects of calcium were exerted in a dose-dependent manner. Calcium treatment also showed a tendency to inhibit the development of gastric adenocarcinomas although this was not statistically significant. Rats without carcinogen treatment had neither carcinomas nor preneoplastic hyperplasias in the glandular stomach. Calcium intake also significantly reduced the levels of malondialdehyde, a measure of lipid peroxidation, in the gastric mucosa and urine, the former in a dose-dependent manner. Thus, calcium chloride exerted inhibitory effects when given during the post-initiation phase of two-stage glandular stomach carcinogenesis in rats.
Animals↗
Casein and paracasein: neutralization with alkali, precipitation by calcium chloride and binding of calcium.
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Alkalies↗
Studies upon the mode of action of vitamin D: The absorption of calcium chloride, xylose and sodium sulphate from isolated loops of the small intestine and of calcium chloride from the abdominal cavity in the rat.
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Journal Article↗
[Time-resolved FTIR study of amorphous process of nylon 6 with calcium chloride].
The influence of calcium chloride on the crystallinity of nylon 6 was studied by means of time-resolved FTIR, WADX and DSC. The results show that the crystallinity of nylon 6 decreased with the increase of CaCl2, and finally nylon 6 changed from crystal phase to amorphous phase. Because hydrogen bond is the main reason that nylon has three-dimensional ordered structure and forms crystalline phase, we further studied the changes of wave number of NH, amide I and amide II related to hydrogen bond in CaCl2/PA6 complexes by time-resolved FTIR. These studies indicate that in the chloroethanol solution of nylon 6 and calcium chloride, complex bonds between calcium cation and oxygen atom of carbonyl group gradually form, and calcium cations are inserted into the molecular chains of nylon 6, which weaken the hydrogen bonds between the molecular chains of nylon 6 and damage the three-dimensional ordered structure of nylon 6, so the crystallinity of nylon 6 decreases and nylon 6 changes from crystalline to amorphous phase.
Calcium Chloride↗
Calcium chloride: reassessment of use in asystole.
Calcium chloride has been advocated since the 1920s for resuscitation of asystole and ventricular fibrillation. Most reports have been anecdotal, and have failed to substantiate its effectiveness. In two large retrospective series with a collective experience of 181 patients, investigators reviewed the effectiveness of calcium chloride in asystole and did not support its use. A prospective, randomized, double-blind study comparing calcium chloride with saline in the prehospital setting was done. Patients with trauma or pediatric arrests were excluded. During the period from October 1982 to October 1983, a total of 32 patients with witnessed arrests presented with a rhythm of asystole and were refractory to epinephrine, bicarbonate, and atropine. The rate of successful resuscitation in the calcium group was 5.6% (1/18), and there were no successful resuscitations (0/14) in the saline group (P = .37). A successful resuscitation was defined as conveyance of a patient with a rhythm and pulse to an emergency department. Groups were analyzed for sex, age, cardiac history, and cardiac drugs, and there were no statistically significant differences. No patient who was successfully resuscitated in the field was discharged alive from the hospital. Calcium chloride is of no value in resuscitating refractory asystole in the prehospital cardiac arrest setting.
Arrhythmias, Cardiac↗
Effect of calcium chloride on some metabolic actions of certain antidiabetic drugs in normal and alloxanised rabbits.
Calcium chloride increased the liver insulinase activity (LIA) in normal rabbits. No significant changes were noted in the plasma insulinlike activity (PILA), serum zinc level (SZ), and pancreatic zinc content (PZ). Insulin elevated PILA, SZ and PZ but did not affect LIA. Calcium chloride enhanced the effect of insulin on PILA, SZ and PZ. However, insulin did not affect the action of calcium chloride on LIA. Tolbutamide raised PILA, inhibited both LIA and SZ but did not affect PZ. Calcium chloride produced no change in the action of tolbutamide on PILA. On the other hand, tolbutamide prevented the rise of PILA obtained by calcium chloride. PZ was unaltered with calcium chloride and tolbutamide combination. Phenformin increased PILA, LIA, SZ and PZ. When it was given with calcium chloride no further changes in PILA and PZ were observed. The elevation of SZ was abolished but the rise of LIA was synergized. In alloxanized rabbits, LIA was decreased by calcium chloride. No changes were found in PILA, SZ and PZ. Insulin elevated PILA, LIA and SZ although it reduced PZ. Calcium chloride stimulated insulin effect on PILA, did not affect its action on SZ or PZ, and antagonized its effect on LIA. Tolbutamide increased LIA and SZ but did not affect PILA or PZ. Calcium chloride could not change the effect of tolbutamide on SZ or PILA although it could abolish the action of this drug on LIA and PZ. Phenformin significantly lowered PILA, LIA and PZ but raised SZ. Calcium chloride combination with phenformin produced a further decrease in LIA but no other changes in PIAL, SZ or PZ were recorded.
Animals↗
Effect of calcium chloride gel treatment in dairy cows on incidence of periparturient diseases.
OBJECTIVE: To determine effect of prophylactic treatment of dairy cattle with a calcium chloride gel on serum calcium concentration in the immediate postpartum period and incidence of parturient paresis, retained fetal membranes, and displacement of the abomasum. DESIGN: Randomized controlled trial. ANIMALS: 204 Holstein cows. PROCEDURE: Cows were paired according to parity, whether they had previously had parturient paresis, and expected calving date. Cows in the treatment group received doses of calcium chloride gel 12 hours before expected calving, at calving, and 12 and 24 hours after calving. Cows in the control group did not receive calcium chloride gel. RESULTS: Compared with concentration in the control cows, mean serum calcium concentration in cows treated with calcium chloride gel was significantly increased on postcalving days 1 and 2. The increase was significant only in cows that were third parity or greater. Calcium chloride gel treatment also resulted in significantly reduced incidence of parturient paresis, parturient hypocalcemia, and displaced abomasum. The incidence of parturient paresis was lower in cows that received the precalving dose of calcium chloride gel (0/39) than in cows that did not receive the precalving dose (5/63). CLINICAL IMPLICATIONS: Results suggest that periparturient prophylactic treatment of dairy cattle with an oral calcium chloride gel may be beneficial and that treatment would be most effective for cows of third parity or greater. Administration of a precalving dose of calcium chloride gel is necessary to reduce the incidence of parturient paresis, but postcalving treatment alone has other beneficial effects.
Abomasum↗
Effects of intracoronary calcium chloride on the postischemic heart in pigs.
Whether calcium chloride (CaCl2) should be used to reverse myocardial dysfunction during cardiac operations remains a controversial issue. Calcium chloride may reduce, rather than increase, myocardial contractility and may produce exaggerated vasoconstriction in postischemic vessels in which the endothelium has been damaged. These possibilities were investigated in an open-chest porcine model that allowed control of systemic hemodynamics. Incremental doses of CaCl2 (1, 3, and 10 mg/min) were infused directly into a coronary artery before and after 10 or 15 minutes of ischemia followed by 15 minutes of reperfusion. Calcium chloride increased regional contraction, coronary blood flow, and oxygen consumption before ischemia, whereas oxygen and lactate extraction were unchanged. After ischemia and reperfusion, contraction was impaired and lactate extraction was reduced, but a similar response to CaCl2 was observed. Contraction returned to baseline values promptly after CaCl2. Thus, CaCl2 exerts a positive inotropic effect both in normal and in postischemic myocardium. Calcium chloride does not cause direct coronary constriction nor does it worsen myocardial stunning after a short period of normothermic myocardial ischemia.
Analysis of Variance↗
Lack of effectiveness of calcium chloride in refractory asystole.
The effectiveness of calcium chloride in asystole has been challenged; retrospective studies have not supported its use. We conducted a prospective, randomized, blinded study comparing the effectiveness of calcium chloride with saline in the prehospital paramedic setting. Seventy-three patients who had received epinephrine, bicarbonate, and atropine and were in refractory asystole were included in the study, which was conducted from October 1982 to October 1983. Traumatic and pediatric arrests were excluded. The successful resuscitation rate was three of 39 in the calcium group versus one of 34 in the saline group (P less than .37). A successful resuscitation was defined as the conveyance of a patient with a pulse and a rhythm to an emergency department. Groups were analyzed for sex, age, and witnessed arrests. There was no statistically significant difference between the groups. No patient who was resuscitated successfully in the field was discharged from the hospital alive. We conclude that calcium chloride is not of value in resuscitating patients from refractory asystole in the prehospital cardiac arrest setting.
Aged↗
Thermodynamic characterization of the partially denatured states of ribonuclease A in calcium chloride and lithium chloride.
The denaturations of ribonuclease A by calcium chloride and lithium chloride were studied by circular dichroism measurements in the far-ultraviolet region. The temperature dependence of the equilibrium constant for the unfolding of the protein by calcium chloride and lithium chloride gave values of 46 and 52 kcal mol-1 (1 cal = 4.1868 J) for the enthalpy of denaturation at 25 degrees C and pH 7.0, respectively. Thermodynamic parameters for the denaturation by calcium chloride and lithium chloride are compared with those for the heat and guanidine hydrochloride denaturation. It has been observed that the thermodynamic quantity, be it free energy, entropy, or enthalpy, cannot be related quantitatively to the extent of unfolding measured by various conformational properties of the protein.
Animals↗
Murine aortic aneurysm produced by periarterial application of calcium chloride.
A murine abdominal aortic aneurysm model was developed by applying calcium chloride periarterially. A 13.6 mEq/10 ml calcium chloride solution was applied to the abdominal aorta of nine mice. Three mice were randomly selected at the end of the first, second, and third weeks postoperatively, and their vessel diameters were measured. The vessel diameter at the end of the first week postoperatively was 0.39 +/- 0.03 mm (mean +/- SD) pretreatment and 0.41 +/- 0.03 mm posttreatment (5.3% increase, P > 0.05). The vessel diameter at the end of the second week postoperatively was 0.48 +/- 0.03 mm pretreatment and 0.78 +/- 0.20 mm posttreatment (64% increase, P < 0.05). The vessel diameter at the end of the third week postoperatively was 0.57 +/- 0.14 mm pretreatment and 1.16 +/- 0.43 mm posttreatment (110% increase, P < 0.05). Nine other murine abdominal aortas were treated with sodium chloride, and their vessel diameters were measured in similar 7-day intervals. No measurements in this group were statistically significant when comparing pretreatment to posttreatment vessel diameters. A larger number of inflammatory infiltrates was observed in the intima and media layers of calcium-chloride-treated mice. Underlying mechanisms for this model include disrupting the elastic network within the media by calcium precipitations and activating the inflammatory response. We conclude that periarterial application of calcium chloride is a convenient and reliable model for creating abdominal aortic aneurysms in mice.
Animals↗
A study of the oral toxicity of calcium chloride in dairy cows.
The effects of oral administration of calcium chloride solutions to dairy cows were studied. When a 0.3 per cent solution was given ad libitum, and as the sole source of water for a period of 75 days, we observed no significant changes in feed consumption, body weight or milk production. The average daily water intake was increased by approximately 20 per cent, and signs of slight gastro-intestinal irritation were seen. No major changes in blood hemoglobin levels, hematocrits, total and differential white cell counts or thrombocyte numbers could be attributed to the treatment. We observed no significant effect on the serum calcium, chloride, magnesium, potassium, or sodium content. The level of inorganic phosphate in the serum rose to higher, but still normal values. During the entire experiment the urine pH was abnormally acid for dairy cows. Electrocardiograms were taken after 45 days of calcium chloride administration, and they appeared normal. When 0.1 and 0.2 per cent solutions were given as the sole source of water for a period of 81 days, the cows remained in good condition, and we observed no changes in appetite, body weight or milk production. In general, dairy cows will refuse to drink calcium chloride solutions when the concentration exceeds 0.5 per cent, even when they have been deprived of water for 18-24 hours. On the other hand, since the administration of lower concentrations for periods of 75 and 81 days did not cause any clinical sign of disease, it seems that on farms where more than one source of water are usually available, poisoning of dairy cattle by calcium chloride in solution is quite unlikely.
Animals↗
Concentration changes of electrolytes in serum of chronic chagasic myocardiopathic patients. Sodium, potassium, chloride, calcium, inorganic phosphorus and magnesium.
Sodium, potassium, chloride, calcium, inorganic phosphorus (Pi) and magnesium contents in the serum of 75 myocardiopathic chagasic patients together with that in 29 healthy controls were determined. Blood samples were taken by catheterization from the superior cava vein (SCV), coronary sinus (CS), pulmonary artery (PA) and a peripheral artery, usually the femoral (FA). The results show that the average serum sodium, potassium, chloride, calcium and PI were invariably different in most samples, except the levels of potassium in SCV and Pi levels in FA. The serum concentration of magnesium was significantly different only in the blood of CS. In general one can observe that in the chagasic patients the serum sodium, chloride and calcium tend to diminish while serum potassium, Pi and magnesium tend to increase, especially in CS blood. The coronary gradient indicates that sodium, chloride and calcium tend to deposit in heart tissues, whereas the other elements (potassium, magnesium and Pi) tend to be released from this tissue. The systemic and peripheric gradients suggest that the chemical elements under study tend either to deposit in/or be released from different tissues depending on the course of development of the chagasic myocardiopathy.
Adult↗
Effect of measured calcium chloride injections on the membrane potential and internal pH of snail neurones.
1. Ion-sensitive micro-electrodes were used to measure changes in intracellular pH (pHi) and internal chloride which resulted from the pressure injection of calcium chloride into identified Helix aspersa neurones. The internal chloride measurement allowed the quantity of calcium chloride injected to be estimated. 2. Application of the metabolic inhibitor carbonyl cyanide m-chlorophenyl hydrazone (CCmP) to a calcium-loaded cell caused an increase in the membrane potential comparable to the effect of injecting calcium itself. The effect was not observed in normal cells. 3. When injected in the presence of CCmp, calcium caused a much larger and longer-lasting effect on the membrane potential than that observed in untreated cells. 4. The injection of ruthenium red can increase and/or prolong the hyperpolarization caused by a given quantity of injected calcium. The pHi changes following calcium injection were biphasic and slower than normal. 5. In seven experiments, both hydrogen chloride and calcium chloride were injected into the same cell. The relative changes in pHi corresponded to the production of one hydrogen ion for each calcium ion injected. 6. The relationship between the quantity of calcium injected and the size of the induced hyperpolarization suggested that at least three calcium ions acting cooperatively are required to activate a potassium 'channel'. 7. Injection of barium chloride hyperpolarized the membrane after a delay of about 1 min. After several injections of barium the cell lost this response while retaining its normal response to calcium injection. Injection of barium also caused a slowly developing (biphasic) fall in pHi. 8. We conclude that injected calcium is normally rapidly taken up by mitochondria in exchange for hydrogen ions. If this uptake process is blocked by ruthenium red or CCmP, the calcium is taken up by a second, slower, process which also releases hydrogen ions. When pre-loaded, but not otherwise, the mitochondria will release calcium ions on treatment with CCmP. Injection of barium does not directly affect the membrane conductance, but causes the release of calcium from intracellular binding sites.
Animals↗