Score: _________

Grade: _____________

Name of Drug Generic (Brand) Date Ordered Classificatio n Dose Frequency Route Mechanism of Action Specific Indication Side Effects Nursing Implications

Calcium Gluconate

Replaces calcium and maintains calcium level.

> Hypocalcemic emergency > Adjunctive treatment of Magnesium intoxication > Hypophosphatemia > Hyperkale mia with secondary cardiac toxicity

CNS: tingling sensation, syncope with rapid I.V. injection. CV: mild drop in blood pressure, vasodilation, bradycardia, arrhythmias, cardiac arrest with rapid I.V. injection. GI: irritation, constipation, nausea, vomiting, thirst, abd. pain. GU: polyuria, renal calculi. Metabolic: hyper-calcemia Skin: local reactions, including burning, necrosis, tissue sloughing, cellulites, soft tissue calcification with I.M. use, pain.

Before: > Make sure prescriber specifies form of calcium to be given; crash carts may contain both calcium gluconate and calcium chloride. > Tell patient to take oral calcium 1 to 1!/2 hours after meals if GI upset occurs. During: > Give I.M. injection in gluteal region in adults and in lateral thigh in infants. Use I.M. route only in emergencies when no I.V. route is available bec. of irritation of tissue by calcium salts. > Tell patient to take oral calcium with a full glass of water. After: > Monitor calcium levels frequently. Hypercalcemia may result after large doses in chronic renal failure. Report abnormalities.

Sign up to vote on this title
UsefulNot useful