DRUG NAME MODE OF ACTION INDICATION CONTRAINDICA SIDE AND NURSING INTERVENTIONS

TION ADVERSE
EFFECTS
Generic Name: Replaces calcium  Hypocalcemia Contraindicated CNS: tingling 1. It is not known if drug
Calcium and maintains Adults: 7-14mEq in patients with sensations, can cause fetal harm
Gluconate calcium level elemental calcium IV. bone sense of when used in
May give as a 10% metastases and oppression or pregnancy or if it can
Brand Name: calciumm chloride in those with heat waves affect reproductive
Calcium solution or initially, 1-2 ventricular with IV use, capacity. Use in
Gluconate g calcium gluconate IV fibrillation, syncope with pregnant women only
 Adjunctive hypercalcemia, rapid IV use. if clearly needed.
Therapeutic Class: treatment of hypophosphate CV: 2. Calciuum appears in
Calcium magnesium mia, or renal bradycardia, human milk, but is
Supplements intoxication calculi arrhythmias, thought to be
Adults: initially, 7mEq cardiac arrest compatible with
Pharmacological Iv. Base subsequent with rapid IV breastfeesing. Monitor
Class: Calcium doses on patient’s use, mild drop maternal serum
Salts response in BP, calcium levels.
 During exchange vasodilation. 3. Use all calcium
Actual Dose, transfusions GI: products with extreme
Timing and Route: Adults: 1.35mEq IV constipation, caution in digitalized
Contains 93 mg or with each 100 mL irritation, patients and patients
4.7 mEq of citrated blood chalky taste, with sarcoidosis, renal
elemental  Hyperphosphate hemorrhage, or cardiac disease, and
calcium/g mia nausea, electrolyte
Capsules: 500 mg Adults: initially, 2 vomiting, thirst, disturbances.
OTC capsules or tablets or abdominal pain 4. Double check that you
Injection: 100 10 mL oral solution PO GU: polyuria, are giving the correct
mg/mL IV t.I.d with meals. renal calculi form of calcium;
Tablets: 50 mg  Dietary METABOLIC: resuscitation cart may
OTC, 500 mg OTC supplement hypercalcemia contain both calcium
Adults: 500 mg to 2g gluconate and calcium
PO daily chloride.
 Hyperkalemia 5. Monitor calcium levels
with secondary frequently.
cardiac toxicity Hypercalcemia may
Adults: 2.25-14 mEq result after large doses
IV. Repeat dose after in chronic renal
1-2 min, if needed. failure. Report
abnormalities
6. Don’t confuse calcium
with calcitriol, or
calcium chloride with
calcium glulconate
7. Tell patients to take
oral calcium 1 hour to
1 hour and 30 minutes
after meals if GI upset
occurs
8. Tell patient to report
anorexia, nausea,
vomiting, constipation,
abdominal pain, dry
mouth, thirst, or
polyuria
9. Advise patient to
notify prescriber if
taking OTC products
such as iron
10. Warn patient not to
eat rhubarb, spinach,
bran and whole grain
cereals, or diary
products in the meal
before taking calcium;
these foods may
interfere with calcium
absorption