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calcium carbonate (40% Ca or 20 mEq/g) Peak Unknown Trade Name Tums Classification Dose mineral and electrolyte 250mg replacements/supplements Route po Time/frequency 0900, 2100 twice a day
For IV meds, compatibility with IV drips and /or solutions N/A Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypercalcemia Renal calculi Ventricular fibrillation
Cereals , spinach , or rhubarb may decrease the absorption of calcium supplements
Mechanism of action and indications (Why med ordered) Calcium supliment
Common side effects Arrhythmias, constipation Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) none Lab value alterations caused by medicine Monitor serum calcium or ionized calcium, chloride, sodium, potassium, magnesium, albumin, and parathyroid hormone (PTH) concentrations before and periodically during therapy for treatment of hypocalcemia ○ May cause decreased serum phosphate concentrations with excessive and prolonged use. When used to treat hyperphosphatemia in renal failure patients, monitor phosphate levels Be sure to teach the patient the following about this medication
Nursing Process- Assessment (Pre-administration assessment) Observe patient closely for symptoms of hypocalcemia (paresthesia, muscle twitching, laryngospasm, colic, cardiac arrhythmias, Chvostek's or Trousseau's sign). Notify physician or other health care professional if these occur.
Assessment Why would you hold or not give this med? Occurrence of unwanted side effects
Evaluation Check after giving Increase in serum calcium levels Decrease in the signs and symptoms of hypocalcemia Resolution of indigestion