University:
West Coast University
Course:
NURS 180 | Pharmacology
Academic year:

2021
Views:

46

Pages:

1
Author:

Accinkiquicpqw

Drug Card Template Classification: Mineral and electrolyte supplement Generic Name: Calcium Carbonate Student Name: Expected Pharmacological Action: Replacement of calcium in deficiency states Usual Dose: 500-4000 mg daily in 1-3 divided doses Usual routes: PO Therapeutic Uses: Expected Common Adverse Effects: 1. Treat and prevent hypocalcemia 2. Adjunct medication for osteoporosis 3. Relief of acid indigestion or heartburn Adverse Effects Requiring Nursing Action: Adverse Effect Cardiac effects: dysrhythmias 1. Constipation 2. Nausea/Vomiting 3. Hypercalcemia s/s Action: Prevention/Assessment/Intervention Take as directed, monitor dietary intake of calcium to not go over recommended calcium levels CNS: apathy, poor memory, depression, drowsiness Take as directed, monitor dietary intake of calcium to not go over recommended calcium levels Weakness in skeletal and smooth muscles, dysphagia, polyuria, polydipsia Take as directed, monitor dietary intake of calcium to not go over recommended calcium levels Likely Medication/Food Interactions: Drugs that increase effects: thiazide diuretics, vitamin D Drugs that decrease effects: calcitonin, corticosteroids, phosphates Herbs that decrease effects: Bran, rhubarb, spinach, whole grain cereals Administration/Interventions/Evaluation of Effectiveness/Laboratory Work - Take with or after meals to prevent GI upset and increase absorption - Monitor IV site for irritation - Monitor carefully for s/s of hypercalcemia especially dysrhythmias, paresthesia, GI effects Patient Education: What will the safe nurse teach the client to DO or expect or report - Consume dietary sources of calcium as well like green leafy vegetables, fortified milks and cereals, nuts, cheese, dried peas, beans - Take with full glass of water - Avoid rhubarb, spinach, bran, whole grain cereals in meal before taking calcium as it decreases absorption - Maintain daily weight bearing exercise like walking to prevent osteoporosis and bone deterioration - Certain medications like iron, tetracycline, ciprofloxacin, phenytoin need to be taken at least 2 hrs apart from calcium to prevent absorption problems