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DRUG STUDY

GENERIC NAME: Calcium Gluconate


Brand name: Kalcinate
Drug Classification: fluid and electrolytic and water balance agent; replacement solution

DOSAGE, ROUTE, SIDE EFFECTS and


FREQUENCY (prescribed and INDICATION MECHANISM OF ADVERSE REACTIONS
recommended) ACTION (by system)
Dosage: adult: PO 1–2 g b.i.d. to Calcium Gluconate Injection, Body Whole: Tingling
q.i.d. IV 7 mEq q 1–3d USP is used to treat sensation. With rapid IV,
Route: Intravenous conditions arising from sensations of heat waves
calcium deficiencies such as
(peripheral vasodilation),
hypocalcemic tetany,
fainting.
hypocalcemia related to
GI: PO preparation:
hypoparathyroidism and
hypocalcemia due to rapid Constipation, increased
growth or pregnancy. It is gastric acid secretion.
also used in the treatment of CV: (With rapid infusion)
blackwidow spider bites to hypotension, bradycardia,
relieve muscle cramping and cardiac arrhythmias, cardiac
as an adjunct in the arrest,
treatment of rickets, Skin: Pain and burning at IV
osteomalacia, lead colic and
site, severe venous
magnesium sulfate
thrombosis, necrosis and
overdosage.
sloughing (with
extravasation).

NURSING RESPONSIBILITIES
CONTRAINDICATION/S (at least 10)
Ventricular fibrillation, metastatic bone Assessment & Drug Effects
disease, injection into myocardium;
administration by SC or IM routes; renal  Assess for cutaneous burning sensations and peripheral vasodilation,
calculi, hypercalcemia, predisposition to with moderate fall in BP, during direct IV injection.
hypercalcemia (hyperparathyroidism,  Monitor ECG during IV administration to detect evidence of
certain malignancies); pregnancy hypercalcemia: decreased QT interval associated with inverted T wave.
(category B).  Observe IV site closely. Extravasation may result in tissue irritation and
Cautious use necrosis.
Digitalized patients, renal or cardiac  Monitor for hypocalcemia and hypercalcemia.
insufficiency, sarcoidosis, history of  Lab tests: Determine levels of calcium and phosphorus (tend to vary
lithiasis, immobilized patients; lactation. inversely) and magnesium frequently, during sustained therapy.
Deficiencies in other ions, particularly magnesium, frequently coexist
with calcium ion depletion.
Patient & Family Education

 Report S&S of hypercalcemia promptly to your care provider.


 Milk and milk products are the best sources of calcium (and
phosphorus). Other good sources include dark green vegetables, soy
beans, tofu, and canned fish with bones.
 Calcium absorption can be inhibited by zinc-rich foods: nuts, seeds,
sprouts, legumes, soy products (tofu).
 Check with physician before self-medicating with a calcium
supplement.
 Do not breast feed while taking this drug without consulting physician.

Patient’s Name / Room No.