Treats hypocalcemia and calcium deficiency.
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Prototye Med
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calcium citrate (Citracal
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calcium carbonate (Tums; Os-Cal)
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Hypocalcemia
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Gastric hyperacidity
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Clients who have, or are at risk for, experiencing a calcium deficiency
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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
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Hypercalcemia secondary to hyperparathyroidism
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More likely to occur when taking large amounts of vitamin D
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More likely to occur with long-term therapy
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Nausea, vomiting, and constipation—may occur as adverse effects or secondary to calcium toxicity
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Kidney stones—in clients with hypercalcemia or a history of kidney stones
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Monitor serum calcium periodically.
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Monitor clients for signs of decreased gastric and intestinal motility.
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Monitor clients for urine output in excess of intake.
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Monitor clients for signs of decreased gastric and intestinal motility
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Monitor clients for flank pain and blood in urine.
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Can be given orally or intravenously.
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Give calcium supplements 1 hr before or 1 to 2 hr after glucocorticoids, thyroid supplements, and tetracycline and quinolone antibiotics.
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Give calcium-based antacids 1 hr after meals and at bedtime
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Chewable tablets should be chewed before swallowing
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Give clients glass of water after swallowin
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Teach clients signs of hypercalcemia (constipation, nausea and vomiting, increased urine output, depression).
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Instruct clients to take calcium supplements as prescribed by provider, and not to take additional doses
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Instruct clients to report nausea and vomiting to provider.
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Instruct clients to eat high-fiber diet and take laxative as necessary for constipation
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Instruct clients to report flank pain or blood in urine to provider.
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Instruct clients to take calcium supplements 1–2hrs before or after taking other medications such as: glucocorticoids, thyroid supplements, and tetracycline and quinolone antibiotics
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Instruct clients to take calcium-based antacids 1 hr after meals and at bedtime.
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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.
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Hyperglycemia
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Kidney stones
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Low phosphate levels
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Cardiac dysrhythmias
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Low gastric motility
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Thiazide diuretics cause decreased excretion of calcium, which may result in hypercalcemia
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Calcium supplements decrease absorption of many other medications, such as thyroid hormones, tetracycline and quinolone antibiotics, and glucocorticoids.
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Avoid taking calcium with foods such as cereals, rhubarb, and spinach
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