Treats hypocalcemia and calcium deficiency.
calcium citrate (Citracal
calcium carbonate (Tums; Os-Cal)
Action: provide a non-dietary source of calcium
Clients who have, or are at risk for, experiencing a calcium deficiency
Women who are pregnant, breastfeeding, or postmenopausal
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
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
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.
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
Give clients glass of water after swallowin
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
Drink glass of water after swallowing
Don’t take more than 600 mg at one time
Compare dose with bioavailable amount of calcium in product.
Low phosphate levels
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