ACTIVE LEARNING TEMPLATE: Medication

Anbar Yaqoob
STUDENT NAME______________________________________
Calcium Gluconate
MEDICATION___________________________________________________________________________ REVIEW MODULE CHAPTER__58
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CATEGORY CLASS__Antidotes, Other; Calcium Salts

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PURPOSE OF MEDICATION

Expected Pharmacological Action Therapeutic Use

Maintain cell membrane and capillary
permeability. Helps in transmission of nerve
impulses and contraction of cardiac, skeletal, and
smooth muscle. Essential for bone formation and
blood coagulation.
Replacement of calcium for deficiencies.
Treatment of hyperkalemia, hyper-magnesia, and
adjunct in cardiac arrest or calcium channel
blocking agent toxicity

Complications Medication Administration

Little or no urination, swelling, rapid weight gain, Calcium Gluconate should be
lightheadedness, slow or irregular heartbeats, nausea, vomiting, administered intravenously either
constipation, increased thirst or urination, muscle weakness, directly or by infusion. Adults: 500
bone pain, confusion, lack of energy, and feeling tired mg - 2 grams (5-20 mL). Children:
200-500 mg (2-5 mL). Infants: not
more than 200 mg (not more than 2
mL)

Contraindications/Precautions
Hypercalcemia, renal calculi, ventricular fibrillation, severe
respiratory insufficiency patients, renal disease, cardiac
Nursing Interventions
disease,
Monitor ECG and BP frequently.
Administer infusion slowly. Monitor
vital signs throughout infusion. If
patient experiences side effects,
halt infusion and resume slowly
Interactions once symptoms stop
Calcium can decrease the absorption of other drugs such as
bisphosphonates (for example, alendronate), tetracycline
antibiotics (such as doxycycline, minocycline), estramustine,
levothyroxine, and quinolone antibiotics (such as ciprofloxacin,
levofloxacin). Certain foods (cereals, spinach) may decrease
absorption
Client Education
Do not take any OTC
medication without
Evaluation of Medication Effectiveness consulting physician. Maintain diet with
adequate calcium levels. Separate
Increase in serum calcium levels. Decrease in the signs and other medications as recommended by
symptoms of hypocalcemia. Decrease in the signs and physician with calcium supplements.
symptoms of magnesium toxcity. Muscular issues resolved Avoid alcohol and smoking. Watch for
signs of drug interactions or
hyper/hypocalcemia and report to
physician immediately

Source: ATI Medication Book and

https://www.rxlist.com/consumer_calcium_gluconate_gluconate_ca/drugs-condition.htm#what_other_drugs_interact
ACTIVE LEARNING TEMPLATES Therapeutic Procedure  A7