ACTIVE LEARNING TEMPLATE: Medication
Emilis Pena Feliz
STUDENT NAME _____________________________________
Calcium Gluconate
MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________
Minerals and Electrolytes - Calcium Replacement
CATEGORY CLASS ______________________________________________________________________
PURPOSE OF MEDICATION
Expected Pharmacological Action Therapeutic Use
Rapidly and effectively restores serum Restores serum calcium levels in acute
calcium levels in acute hypocalcemia and is hypocalcemia of various origins and effective
effective as a cardiac stabilizer under cardiac stabilizer under conditions of
conditions of hyperkalemia or resuscitation. hyperkalemia or resuscitation.
Complications Medication Administration
Tingling sensation. With rapid IV, sensations of heat waves, fainting. PO 500 mg, 650 mg, 975 mg, 1
GI: PO preparation: Constipation, increased gastric acid secretion. gm tablets;
With rapid infusio: hypotension, bradycardia, cardiac arrhythmias,
cardiac arrest, Pain and burning at IV site, severe venous thrombosis,
IV 10% injection
necrosis and sloughing (with extravasation).
Contraindications/Precautions
Ventricular fibrillation, metastatic bone disease, injection
into myocardium; administration by SC or IM routes; renal
calculi, hypercalcemia, predisposition to hypercalcemia Nursing Interventions
(hyperparathyroidism, certain malignancies); pregnancy Assess for cutaneous burning sensations and peripheral
vasodilation, with moderate fall in BP, during direct IV injection.
(category B). Monitor ECG during IV administration to detect evidence of
hypercalcemia: decreased QT interval associated with inverted T
wave.
Observe IV site closely. Extravasation may result in tissue
irritation and necrosis.
Monitor for hypocalcemia and hypercalcemia
Lab tests: Determine levels of calcium and phosphorus and
magnesium frequently, during sustained therapy. Deficiencies in
Interactions other ions, particularly magnesium, frequently coexist with
calcium ion depletion.
May enhance inotropic and toxic effects of digoxin;
magnesium may compete for GI absorption; decreases
absorption of Tetracyclines, Quinolones ; antagonizes the
effects of verapamil and possibly other CALCIUM
CHANNEL BLOCKERS (IV administration).
Client Education
Report S&S of hypercalcemia promptly to your care provider.
Milk and milk products are the best sources of calcium. Other
good sources include dark green vegetables, soy beans, tofu,
and canned fish with bones.
Evaluation of Medication Effectiveness Calcium absorption can be inhibited by zinc-rich foods: nuts,
seeds, sprouts, legumes, soy products.
Check with physician before self-medicating with a calcium
Increase in calcium serum levels. supplement.
Do not breast feed while taking this drug without consulting
physician.
ACTIVE LEARNING TEMPLATES
Emilis Pena Feliz
STUDENT NAME _____________________________________
Calcium Gluconate
MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________
Minerals and Electrolytes - Calcium Replacement
CATEGORY CLASS ______________________________________________________________________
PURPOSE OF MEDICATION
Expected Pharmacological Action Therapeutic Use
Rapidly and effectively restores serum Restores serum calcium levels in acute
calcium levels in acute hypocalcemia and is hypocalcemia of various origins and effective
effective as a cardiac stabilizer under cardiac stabilizer under conditions of
conditions of hyperkalemia or resuscitation. hyperkalemia or resuscitation.
Complications Medication Administration
Tingling sensation. With rapid IV, sensations of heat waves, fainting. PO 500 mg, 650 mg, 975 mg, 1
GI: PO preparation: Constipation, increased gastric acid secretion. gm tablets;
With rapid infusio: hypotension, bradycardia, cardiac arrhythmias,
cardiac arrest, Pain and burning at IV site, severe venous thrombosis,
IV 10% injection
necrosis and sloughing (with extravasation).
Contraindications/Precautions
Ventricular fibrillation, metastatic bone disease, injection
into myocardium; administration by SC or IM routes; renal
calculi, hypercalcemia, predisposition to hypercalcemia Nursing Interventions
(hyperparathyroidism, certain malignancies); pregnancy Assess for cutaneous burning sensations and peripheral
vasodilation, with moderate fall in BP, during direct IV injection.
(category B). Monitor ECG during IV administration to detect evidence of
hypercalcemia: decreased QT interval associated with inverted T
wave.
Observe IV site closely. Extravasation may result in tissue
irritation and necrosis.
Monitor for hypocalcemia and hypercalcemia
Lab tests: Determine levels of calcium and phosphorus and
magnesium frequently, during sustained therapy. Deficiencies in
Interactions other ions, particularly magnesium, frequently coexist with
calcium ion depletion.
May enhance inotropic and toxic effects of digoxin;
magnesium may compete for GI absorption; decreases
absorption of Tetracyclines, Quinolones ; antagonizes the
effects of verapamil and possibly other CALCIUM
CHANNEL BLOCKERS (IV administration).
Client Education
Report S&S of hypercalcemia promptly to your care provider.
Milk and milk products are the best sources of calcium. Other
good sources include dark green vegetables, soy beans, tofu,
and canned fish with bones.
Evaluation of Medication Effectiveness Calcium absorption can be inhibited by zinc-rich foods: nuts,
seeds, sprouts, legumes, soy products.
Check with physician before self-medicating with a calcium
Increase in calcium serum levels. supplement.
Do not breast feed while taking this drug without consulting
physician.
ACTIVE LEARNING TEMPLATES
