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Treats hypocalcemia and calcium deficiency.
Medication Names
Prototye Med |
calcium citrate (Citracal |
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calcium carbonate (Tums; Os-Cal) |
Action: provide a non-dietary source of calcium
Therapeutic Use
Hypocalcemia |
Gastric hyperacidity |
Clients who have, or are at risk for, experiencing a calcium deficiency |
Adolescents |
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Women who are pregnant, breastfeeding, or postmenopausal |
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Men and women at risk for osteoporosis due to age or lactose intolerance |
Adverse Drug Reactions
Hypercalcemia secondary to hyperparathyroidism |
More likely to occur when taking large amounts of vitamin D |
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More likely to occur with long-term therapy |
Nausea, vomiting, and constipation—may occur as adverse effects or secondary to calcium toxicity |
Kidney stones—in clients with hypercalcemia or a history of kidney stones |
Interventions
Monitor serum calcium periodically. |
Monitor clients for signs of decreased gastric and intestinal motility. |
Monitor clients for urine output in excess of intake. |
Monitor clients for signs of decreased gastric and intestinal motility |
Monitor clients for flank pain and blood in urine. |
Administration
Can be given orally or intravenously. |
Give calcium supplements 1 hr before or 1 to 2 hr after glucocorticoids, thyroid supplements, and tetracycline and quinolone antibiotics. |
Give calcium-based antacids 1 hr after meals and at bedtime |
Chewable tablets should be chewed before swallowing |
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Give clients glass of water after swallowin |
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Patient Education
Teach clients signs of hypercalcemia (constipation, nausea and vomiting, increased urine output, depression). |
Instruct clients to take calcium supplements as prescribed by provider, and not to take additional doses |
Instruct clients to report nausea and vomiting to provider. |
Instruct clients to eat high-fiber diet and take laxative as necessary for constipation |
Instruct clients to report flank pain or blood in urine to provider. |
Instruct clients to take calcium supplements 1–2hrs before or after taking other medications such as: glucocorticoids, thyroid supplements, and tetracycline and quinolone antibiotics |
Instruct clients to take calcium-based antacids 1 hr after meals and at bedtime. |
Chew tablet before swallowing |
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Drink glass of water after swallowing |
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Don’t take more than 600 mg at one time |
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Compare dose with bioavailable amount of calcium in product. |
Contraindications
Hyperglycemia |
Kidney stones |
Low phosphate levels |
Cardiac dysrhythmias |
Interactions
Thiazide diuretics cause decreased excretion of calcium, which may result in hypercalcemia |
Calcium supplements decrease absorption of many other medications, such as thyroid hormones, tetracycline and quinolone antibiotics, and glucocorticoids. |
Avoid taking calcium with foods such as cereals, rhubarb, and spinach |
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