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Use cautiously in patients receiving digitalis glycosides, or with cardiac or renal disease. This calcium preparation must be given slowly and the veterinarian should monitor for cardiac arrhythmia. In one survey (253 whelpings, 1,671 pups born), a high frequency . It may be administered on an emergency basis at a dosage of 0.5 to 1.5 mL/kg, diluted and given over several minutes, or it is added to . The use of calcium does not reduce the serum potassium level, but counteracts the effects of hyperkalemia on cardiac excitability. The low concentration of calcium in the extracellular fluid has an excitatory effect on nerve and muscle cells because it lowers the threshold potential (voltage level at which sodium channels become activated) so that it is closer to the resting membrane potential. The breed of dog is also a consideration. The serum chemistry profile, besides hypercalcemia, shows a normal or low serum phosphorus concentration. The dose may be increased as needed. Calcium borogluconate 23% (w/v) (equivalent to 19.14 mg/mL calcium) INDICATION: As an aid in the treatment of hypocalcemic conditions, such as milk fever, in cattle, horses, sheep, swine, dogs and cats. Medication should never be administered without first consulting your veterinarian. In fact, this is such a common cause that lymphoma must be pursued rigorously in any dog with hypercalcemia before another diagnosis is considered. Eclampsia (periparturient hypocalcemia) is characterized by progressive neurologic signs including tremors, ataxia, and disorientation; eventually followed by seizures, coma, and death. Tortoises: 7.5-10 mg/kg diluted with normal saline IM. 50 to 150 mg/kg/day in 4 to 6 divided doses The phosphonate drug pamidronate can also be used to decrease bone resorption, so it is a logical choice in the treatment of hypercalcemia of malignancy. PDF HYPOCALCEMIA: TREATMENT GUIDELINES - Yola In hypercalcemia of any cause, treatment of hypercalcemia is needed if the product of calcium x phosphorus exceeds 75. It occurs most commonly in small-breed dogs that are nursing large litters, especially at peak lactation, 23 weeks after whelping. Check the label on your brand of this medicine to see if it should be taken with or without food. The severity of the hyperkalemia and associated cardiac and neuromuscular disturbances dictate the therapeutic approach for this disorder. In dogs with hypocalcemia, unlike cows, excitation-secretion coupling is maintained at the neuromuscular junction. The calcium would not cause harm at this low dose. Calcium supplements poisoning can result in effects as serious as kidney failure. Calcium: 50-150 mg/kg calcium (boro)gluconate = 0.5-1.5 ml/kg of a 10% solution i.v. Dosing seems totally crazy when you first start: DHT is the precursor to active vitamin D (1, 25-dihydroxycholecalciferol, or aka vitamin D3), and must be hydroxylated in the kidney to become active. Signalment is key to the diagnosis of eclampsia; typically a small-breed dog nursing a large litter at peak lactation. Care must be taken to not overdose a pet in this way as well. Guided by the severity of neurologic signs, Administration of IV calcium gluconate with appropriate monitoring. Bolus dosing is 0.6 mL/kg (60 mg/kg) of 10% calcium gluconate solution,repeated as needed every 10-20 minutes for 3 to 4 times and followed by a continuous infusion of 0.6 to 1.5 mL/kg/hr (60 to 150 mg/kg/hr). Calcium can make it harder for your body to absorb certain medicines. Bicarbonate administration increases extracellular pH which translocates potassium into cells in exchange for hydrogen ions. Clinical signs of primary hyperparathyroidism are usually related to the effects of prolonged hypercalcemia rather than to the PTH-secreting mass itself. Calcium Carbonate for Dogs and Cats - PetPlace 500 to 2000 mg orally 2 to 4 times a day. The calcium would not cause harm at this low dose. The cardiac effects lead progressively to bradycardia, atrial standstill, and cardiac arrest as the hyperkalemia worsens. All should be fine as long as your dog is healthy and not suffering from underlying issues such as kidney disease. 2.2 Recommended Dosage . Sacramento, CA, Hyperkalemia in Animals with Renal Disease. Fennel acid . intravenous/Dog : Physical examination findings in dogs and cats with primary hypoparathyroidism are usually normal. Natural calcified seaweed sourced from Iceland. Follow all directions on your medicine label and package. Rarely, mastitis is seen in lactating read more , should also be excluded. 2023 Wag Labs, Inc. All rights reserved. The number one ruleout for hypercalcemia in dogs is lymphoma. The legacy of this great resource continues in the online and mobile app versions today. In dogs, supplementation with oral calcium during pregnancy may predispose the animal to eclampsia during peak lactation, because excessive calcium intake during pregnancy causes downregulation of the calcium regulatory system and subsequent clinical hypocalcemia when calcium demand is high. Dog grass . Oral calcium supplementation is easier. o [pig guinea] Choosing a calcium supplement - Harvard Health Primary hyperparathyroidism is caused by an autonomously hyperfunctioning adenoma of the chief cells of the parathyroid gland. Dosage and Administration Dosing: Adult. Small-breed bitches with large litters are most often affected. a light-headed feeling, like you might pass out; high levels of calcium in your blood--nausea, vomiting, constipation, increased thirst or urination, muscle weakness, bone pain, confusion, lack of energy, or feeling tired. Calcium-containing crystals, isosthenuria, hematuria, and/or pyuria can be present. Once the animal is stable, the dose of calcium gluconate needed for initial control of tetany may be diluted in an equal volume of normal (0.9%) saline and given subcutaneously every 8 hours to control clinical signs. Route of administration is IM or ICe. Slow intravenous administration of 10% calcium gluconate0.51.5 mL/kg over 1030 minutes (520 mL is a typical dose)is an effective treatment for eclampsia, usually resulting in clinical improvement within 15 minutes. Oral: (Dosage expressed in mg of elemental calcium): Urinalysis is critical to the work-up of the disease. Recurrence of hyperparathyroidism is extremely uncommon following surgery, and surgery is, therefore, almost always curative. Calcium lactate is a type of calcium supplement. Learn about the foods that contain calcium. Large breed dogs: 4 grams to 6 grams per day. The physical examination findings in animals with primary hyperparathyroidism are usually normal. IV: Other causes of irritability and hyperthermia, such as metritis Metritis in Small Animals Metritis is postpartem infection of the uterus. Katherine M. James, in The Cat, 2012 Calcium. Calcium lactate, along with other kinds of calcium supplements, may help support heart and bone health. Calcium Supplements | VCA Animal Hospital IV: Most owners lack medical knowledge regarding the birthing process, and as such, they frequently look to the veterinarian to answer questions and to identify potential problems. Hypocalcemia secondary to citrated blood infusion: PDF Neonatal medicine: Calcium Gluconate 10% - health.qld.gov.au Iatrogenic hypercalcemia is a common complication of this treatment. Larry Cowgill, DVM, PhD, DACVIM Generally, 5-10 ml of 10% calcium gluconate will provide sufficient calcium for a bitch weighing between five and ten Kg. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. The dosage of 1,25-dihydroxyvitamin D3 (calcitriol) is 0.030.06 mcg/kg per day. 250-500 mL. In dairy cows with a similar condition, parturient paresis Parturient Paresis in Cows Parturient paresis (milk fever, hypocalcemia, paresis puerperalis, parturient apoplexy) is a disease of adult dairy cows in which acute hypocalcemia causes acute to peracute, afebrile, flaccid read more , production of PTH is adequate; however, the pool of osteoclasts for PTH to stimulate is not. In dogs, the dosage is usually 14 g/day, in divided doses. The toxicity associated with hyperkalemia is intensified by acidosis, hypocalcemia, and hyponatremia that can coexist with either acute or chronic uremia. Calcium gluconate: hypocalcemia: 94-140 mg/kg slow IV. 1. Individualize the dose of Calcium Gluconate Injection within the recommended range depending on the severity of symptoms of hypocalcemia, the serum calcium level, and the acuity of onset of Most owners lack medical knowledge regarding the birthing process . Predisposing causes include prolonged delivery, dystocia, and retained fetuses or placentas. The severity of the hyperkalemia generally is proportionate to the degree of azotemia and decrement of urine formation. It does not require renal activation, has a quicker onset of activity, and the short half-life makes it much easier to manage iatrogenic vitamin D toxicity. Oxygen Recovery Mask Small Dog $ 62.90 Inc. GST Add to cart. 6 to 12 months: 600 mg/day In these cases, ionized calcium concentrations are normal. Calcitriol has a rapid onset of action (14 days) and a short half-life (<1 day). IV, IO: (Dosage expressed in mg of calcium gluconate): Dexamethasone (Azium). With hypocalcemia, sodium channels become activated (opened) by very little increase in membrane potential from their normal, negative level. Several calcium salts are available for oral administration, but the one with the most elemental calcium, and the one that is least expensive and most readily available is calcium carbonate (Tums antacid). Calcium with lactate, citrate, ascorbate, carbonate, gluconate, or phosphate may be available. An enlarged parathyroid gland is usually not palpable in dogs, but can be palpated about half of the time in cats with the disease. 2. These inflammatory processes read more . Hypoglycemia can occur concurrently. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use calcium gluconate only for the indication prescribed. While generally safe and effective when prescribed by a veterinarian, calcium gluconate can cause side effects in some animals. Canine Hypocalcemia (Eclampsia) - Dog Discoveries calcium gluconate) and strength (i.e. Hypocalcemia may also occur during parturition and may precipitate dystocia. The treatment steps will be contingent on the severity of the toxicosis. In the past, vitamin D-containing rodenticides were used and were a more common cause of hypervitaminosis D, but those products are no longer marketed. The dose is 0.02 to 0.03 mg/kg/day divided BID, and it can take a week to become effective. Heavy panting may produce a respiratory alkalosis. Calcium chloride is not appropriate because of its potency, acidifying tendency, and irritation if injected extravascularly. For basic homemade diets, it's usually sufficient to add a couple teaspoons of egg or bone powder to a meat-heavy meal. Urinary excretion is the major route for the elimination of dietary and endogenous potassium which can be disrupted with renal impairment. However, in many cases IV treatment with calcium is started before serum calcium concentration is known. Follow your healthcare provider's instructions about any restrictions on food, beverages, or activity. For dogs with dystocia, 1 mL of 10% solution per 10 pounds (4.5 kg) body weight may be given subcutaneously. Calcium Gluconate 23% Injection Indications, Warnings and cautions for Calcium Gluconate 23% Injection, Direction and dosage information for Calcium Gluconate 23% Injection. Bone meal has also been used as a calcium source; however, the effects are similar when compared to the manufactured . Interesting, within minutes of starting hemodialysis the electrocardiographic abnormalities, conduction disturbances, and bradycardia associated with severe hyperkalemia resolve in animals with either acute or chronic uremia. How Much Calcium To Give A Nursing Dog Once the cardiotoxicity has been controlled, transient lowering of serum potassium can be achieved by promoting its translocation from the extracellular to the intracellular fluid compartment with sodium bicarbonate or insulin and glucose administration. followed by 2-3 g of dextrose/unit of insulin (for urinary tract obstruction but not hypoadrenocorticism). All rights reserved. 1000 to 1500 mg/day orally in divided doses. This occurs in roughly 10 percent of cats undergoing thyroidectomy, but it is largely dependent upon the skill of the surgeon performing the procedure. In cats with hypocalcemia, 46 to 70 mg per . Calcium for Dogs Dosage Requirements - Colorado Dog Company In dogs with hypocalcemia, the usual dose is 25 to 75 mg per pound (50 to 150 mg/kg) of 10% calcium gluconate solution slowly by intravenous injection with careful monitoring of the heart rate. Compared to the typical potassium content of commercial renal diets of approximately1.6 mg per 1000 kcal of metabolizable energy, a home formulated diet containing <0.9 mg per 1000 kcal metaabolizable energy will generally control persisting hyperkalemia. Therapeutic effects begin within 10 minutes and may persist for 1 to 2 hours. Adequate intake (AI): (Dosage is in terms of elemental calcium): Calcium chloride versus calcium gluconate: comparison of - PubMed Dog is 21 lbs. Vitamin D deficiency leads to poor intestinal calcium absorption and further lack of PTH inhibition, helping to add to the syndrome of renal secondary hyperparathyroidism. 2023 MJH Life Sciences and dvm360 | Veterinary News, Veterinarian Insights, Medicine, Pet Care. Treatment and prevention of hyperkalemia in adults. Calcium borogluconate 23% (w/v) (equivalent to 19.14mg/mL calcium). Do not take calcium gluconate or antacids that contain calcium without first asking your doctor if you also take other medicines. Clinical signs like frequent urination, information provided by you as to your pets history (previous illnesses, current medications, or knowledge of intake of supplements), and a physical examination will all add to the quick diagnosis by the veterinarian. Emergency doses for dogs and cats | BSAVA Library The usual daily dosage ranges from 1000 to 15,000 mg (10 to 150 mL) in divided doses or as a continuous infusion. Identification Summary. Interactions may include: Endocrinology & Metabolic diseasesReproductive Disorders & TheriogenologyCardiology & Cardiovascular diseases, Copyright 1999 - 2023. 938. Glucono-delta-lactone/calcium/magnesium/potassium/sodium salts Clinical signs of hypercalcemia can be difficult to detect. 1 to 6 months: 400 mg/day Calcium Supplements Poisoning Average Cost, From 57 quotes ranging from $500 - $2,000. Contains 72 teaspoons of product. They will be able to tell you if you need to worry or what actions may need to be taken. Calcium is an essential building block for bones, and the balance of dietary calcium and phosphorous is especially important for young, growing animals. Calcium Gluconate for Dogs and Cats - PetPlace Breed. In an acute hypocalcemic crisis following treatment of hyperparathyroidism, IV calcium gluconate is given at a dose of 1 ml/kg of 10% solution slowly IV. . Historically, the bitch has been otherwise healthy and the neonates have been thriving. Pros. First pregnancy or subsequent ones. The level of toxicity will depend on the age and size of the dog (in comparison to the amount ingested), as well as the state of the kidneys at time of exposure. In this setting, hyperkalemia often is difficult to manage and can represent a persistent life-threatening risk. Calcium borogluconate is preferred to calcium gluconate because it is more soluble (Budavari, 1996). IV: 3 to 4 mEq/kg/day Sodium bicarbonate administration may lower serum calcium concentration and induce a hypocalcemic crisis in animals with preexisting hypocalcemia. A healthcare provider will give you this injection. Not all possible drug interactions are listed here. Last updated on Jun 22, 2022. 500 to 3000 mg (5 to 30 mL) IV one time at a rate not to exceed 0.5 to 2 mL/min. Calcium Gluconate Injection 10mL | Whelping Supplies This product contains no preservative. Mild tremors, twitching, muscle spasms, and gait changes (stiffness and ataxia) result from increased neuromuscular excitability. If an arrhythmia develops, calcium administration should be discontinued until the heart rate and rhythm are normal; then administration can be resumed at half the original infusion rate. Assuming it was ONE chew that was eaten, there should be no risk. Gender. The mechanism of these effects is not known, but they occur before there is any measurable improvement in serum potassium concentration. The effect of calcium gluconate in the treatment of hyperkalemia Rapid injection of calcium solutions may cause hypotension and cardiac arrhythmias; therefore, arterial blood pressure and ECG monitoring should be established during calcium administration. Independence America Holdings Corp. All Rights Reserved. The factors which decide the required calcium are: Size. Calcium for Dogs: Why They Need It | Great Pet Care Doses of calcium gluconate vary widely depending on the reason for prescribing and response top initial doses. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Oral calcium supplementation is easier. There are also several different delivery methods available for glucosamine. Calcium gluconate may also be used for purposes not listed in this medication guide. In contrast to medical treatments for hyperkalemia which merely shift extracellular potassium to intracellular pools or antagonize its neuromuscular toxicity, long-term control is directed to elimination of the existing and ongoing potassium load. Calcium is necessary for many normal functions of the body, especially bone formation and maintenance. CBC is usually normal, but is necessary to rule out other causes of hypercalcemia. Vitamin D supplementation is used to increase calcium absorption from the intestines. The Calcium Connection - Whelping tip - Working Aussie Source Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Small breed dogs: 1250 mg per day. Recommended calcium products include: Oral Cal Plus - for quick dosing that absorbs as soon as it hit's the dog's cheek - and Dr. Roys Healthy Bones. Hyperkalemia has become recognized in animals undergoing extended hemodialysis. Again, the dose of calcium is based on the amount of elemental calcium in the product (eg, calcium carbonate tablets contain 295 mg elemental calcium/1-g tablet). Be certain to complete the prescription unless specifically directed by your veterinarian. Low or undetectable serum PTH concentration in a hypocalcemic animal is strongly suggestive of primary hypoparathyroidism Hypoparathyroidism in Dogs Hypoparathyroidism of various causes is primarily recognized in dogs and is characterized by insufficient PTH secretion by parathyroid glands. Pets who have existing kidney issues, as well as young dogs, are more at risk of toxicity from eating calcium supplement chews. Please confirm that you are a health care professional. Tetany: I prefer to withdraw treatment gradually at 2-week intervals beginning with the vitamin D therapy. Presumptive diagnosis based on signalment and clinical signs, Confirmatory diagnosis based on results of measurement of serum calcium concentration. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Ask the Vet: Should You Give Calcium to Pregnant Dogs? Take this medication by mouth with food. Giant breeds will need 2000 mg. Calcium should only be offered after labor has begun. During these temporary reprieves from the hyperkalemia, additional measures must be initiated to provide long-term regulation of serum potassium. Infants and Children: 100 to 200 mg/kg/dose; over 5 to 10 minutes; may repeat after 6 hours or follow with an infusion with a maximum dose of 500 mg/kg/day. Infants and Children: 500 to 725 mg/kg/day in 3 to 4 divided doses Escherichia coli is the most common bacterium read more and mastitis Mastitis in Small Animals Mastitis is inflammation of the mammary gland(s) associated with bacterial infection. Preventive steps to consider in the bitch include feeding a high-quality, nutritionally balanced, and appropriate diet during pregnancy and lactation; providing food and water ad lib during lactation; and supplementing feeding of the puppies with milk replacer early in lactation and with solid food after 34 weeks of age. 1 to 3 years: 500 mg/day Behavioral changes such as aggression, whining, salivation, pacing, hypersensitivity to stimuli, and disorientation are common. In more acute situations, the injectable variety is preferable. Infants and Children 25 kg and less: 1 to 2 mEq/kg/day Development of hyperkalemia in a hemodialysis dependent dog with chronic kidney disease in response to feeding a commercial renal diet via an esophageal feeding tube (dashed insert) and its resolution with a potassium restricted formulated diet. Calcium gluconate will treat or prevent the deleterious effects of hypocalcemia. Calcium Gluconate Article - StatPearls To make sure calcium gluconate is safe for you, tell your doctor if you have ever had: Tell your doctor if you are pregnant or breastfeeding. Calcium is involved in both smooth muscle and myocardial muscle contraction. Glucose stimulates insulin release and promotes the transcellular uptake of potassium. Resistant: 10 mg/kg IM/PO q 24h. Diastase . Even if your pet feels better, the entire treatment plan should be completed to prevent relapse. Cautions: Consult your veterinarian for re-evaluation of diagnosis and therapeutic plan if there is no improvement in 24 hours. Diastase malt . Used as a calcium supplement at a dose of 300 mg/kg given in divided doses over a 24 hour period. Large dogs that weigh between 45 to 90 pounds should get 1,000 mg a day. Acute Toxicity Data and References. PDF Livestock - Agricultural Marketing Service Also see pet health content regarding disorders of calcium metabolism in dogs Disorders of Calcium Metabolism in Dogs Calcium is an essential component of the skeleton, and it has important functions in muscle contraction, blood clotting, enzyme activity, the nervous system, and hormone release, among others read more and cats Disorders of Calcium Metabolism in Cats Calcium is an essential component of the skeleton, and it has important functions in muscle contraction, blood clotting, enzyme activity, the nervous system, and hormone release, among others read more . Calcium gluconate use in dogs | Vetlexicon Canis from Vetlexicon Divide subcutaneous injections over several sites. The effects of bicarbonate and glucose/insulin are more sustained then calcium gluconate but must be repeated as clinical circumstances dictate until the potassium load is alleviated. PDF Full Pr Es Cri B Ing in Format Ion 1 Indicat Ions and Usage Easy for your pet to digest and make use of. Calcium Lactate: Benefits, Side Effects, and Dosage - Verywell Health Tetany occurs as a result of spontaneous repetitive firing of motor nerve fibers. Excessive amounts can cause symptoms like vomiting, gastrointestinal irritation, and thirst. Calcium gluconate is an ingredient found in a variety of supplements and vitamins, and is used to lower potassium in the blood or treat magnesium poisoning.. Generic Name Calcium gluconate DrugBank Accession Number DB11126 Background. Moderate hyperkalemia (6.0-8.0 mmol/L) may resolve spontaneously with the onset or induction of a diuresis. Elsevier; 2021:6378. The most common type of iatrogenic hypoparathyroidism, however, is associated with thyroidectomy for treatment of feline hyperthyroidism. CBC and urinalysis findings are usually normal. Merck & Co., Inc., Rahway, NJ, USA(known as MSD outside of the US and Canada) is dedicated to using leading-edge science to save and improve lives around the world. Some pet owners also choose to supplement their pets diet with calcium; this is generally not necessary if proper food is the mainstay of the diet. However, this recommendation is supported by a low level of evidence and is anecdotal. 1 to 10 years: 800 mg/day To treat the primary condition, surgical parathyroidectomy is indicated. This results in activation of vitamin D, increased renal resorption of calcium, and mobilization of calcium from bone, thereby normalizing ionized calcium in the extracellular fluid. Calcium chloride is not appropriate because of its potency, acidifying tendency, and irritation if injected extravascularly. The material is metabolized by the animal, with the calcium entering the blood stream and some being expressed as milk. Because calcium carbonate contains 40% elemental calcium, one 750 tablet contains 300 mg of calcium, so a cat would need approximately 3 tablets daily for calcium supplementation. IV administration of 10% calcium gluconate to control neurologic signs is usually required for treatment. Hyperkalemia is a known complication of ACEi usage in human patients with kidney disease; a similar effect in animal patients may restrict or preclude their use. Contributing factors including the use of potassium containing enteral or parenteral solutions, ACEi, and potassium containing medications should be modified. Children: 45 to 65 mg/kg/day in 4 divided doses The acceptability of these preparations is low due to persistent side effects including nausea, constipation, gastrointestinal ulceration and necrosis. Calcium plays a vital role in dogs that have just delivered a litter of healthy puppies. Mild hypocalcemia may contribute to ineffective myometrial contractions and slow the progression of labor without causing other clinical signs. Calcium gluconate oral is taken by mouth. Tachycardia, hyperthermia, polyuria, polydipsia, and vomiting sometimes occur. . Capsicum . If hypercalcemia results from overdosage, it can be rapidly corrected by discontinuing calcitriol. 100 mg/minute in pediatric patients. CALCIUM GLUCONATE- calcium gluconate injection, solution - DailyMed Ten children scheduled for burn Most simple cases of calcium supplement ingestion will end in a positive way as long as the situation was treated as needed. Note: One gram of calcium gluconate salt is equal to 93 mg of elemental calcium. No signs of distress. Fever usually resolves rapidly with control of tetany, and specific treatment for fever may result in hypothermia. Glucocorticoids can be useful to promote urinary calcium excretion and to inhibit absorption of calcium from the gut, but extreme care must be taken to ensure that a diagnosis of lymphoma has been excluded. Generic name: calcium gluconate (oral/injection) [KAL-see-um-GLUE-koe-nate].
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As a part of Jhan Dhan Yojana, Bank of Baroda has decided to open more number of BCs and some Next-Gen-BCs who will rendering some additional Banking services. We as CBC are taking active part in implementation of this initiative of Bank particularly in the states of West Bengal, UP,Rajasthan,Orissa etc.
We got our robust technical support team. Members of this team are well experienced and knowledgeable. In addition we conduct virtual meetings with our BCs to update the development in the banking and the new initiatives taken by Bank and convey desires and expectation of Banks from BCs. In these meetings Officials from the Regional Offices of Bank of Baroda also take part. These are very effective during recent lock down period due to COVID 19.
Information and Communication Technology (ICT) is one of the Models used by Bank of Baroda for implementation of Financial Inclusion. ICT based models are (i) POS, (ii) Kiosk. POS is based on Application Service Provider (ASP) model with smart cards based technology for financial inclusion under the model, BCs are appointed by banks and CBCs These BCs are provided with point-of-service(POS) devices, using which they carry out transaction for the smart card holders at their doorsteps. The customers can operate their account using their smart cards through biometric authentication. In this system all transactions processed by the BC are online real time basis in core banking of bank. PoS devices deployed in the field are capable to process the transaction on the basis of Smart Card, Account number (card less), Aadhar number (AEPS) transactions.