Mechanism of

Drug Data Classification Indication Contraindication Side effects Nursing Responsibilities

Action

Generic name: neutralizes gastric  gastric acidity,  hypersensitivity, Before:

Calcium carbonate Therapeutic: acidity.  hypocalcemia hypercalcemia, GI: Constipation, anorexia,  Assess hypersensitivity to drug.
Antacid, calcium hyperparathyroidism, nausea, vomiting, flatulence,  Check Doctor’s order.
Trade Name: supplement Pharmacokinetics Pt’s Indication: bone tumors. diarrhea, rebound hyperacidity,  Observe patient’s rights of drug
Alka Mints, Calci-mix. eructation. administration.
Pharmacologic: Onset: 20 mins Use Cautiously in:  Assess calcium (serum urine),
Content: Electrolyte calcium should be 8.5- 10.5 mg/dl,
calcium carbonate Duration 20 – 180  elderly, fluid urine calcium should be 150
Pregnancy Risk mins restriction, decreased mg/day, monitor weekly.
Patient’s dose: GI motility, GI  Assess for constipation, add bulk
500 mg tab TID Category C obstruction, in the diet if needed.
dehydration, renal
Maximum dose: disease, pregnancy During:
500 mg tab TID (C), lactation.  Administer antacid 1 hr before
meal and before sleeping.
Minimum dose: Drug interaction  Administer as supplement 1 ½
hour before meal and before
 drug to drug sleeping.
Availability: - increased plasma  Do not give with enteric-coated
levels of quinidine, tablets.
 Capsules: 125 mg, amphetamines
1250 mg;
 Gum: 300 mg, 450 - decreased levels of After:
mg; salicylates, calcium  Assess for milk-alkali syndrome:
 Gum tablets: 500 mg, channel blockers, nausea, vomiting, disorientation,
 Lozenges: 600 mg; ketoconazole, headache.
 Powder: 6500 mg/  Assess for hypercalcemia:
tetracyclines, iron
packet. headache, nausea, vomiting,
salts
 Suspension: 1250 confusion.
mg/5 ml  Administer laxatives or stool
 Tablets: 250 mg, 420  food to drug softeners if constipation occurs.
- increased
mg, 500 mg, 600 mg,  Evaluate therapeutic response:
650 mg, 667 mg, action/side effects: absence of pain, decreased
1000 mg, 1250 mg, lily of the valley, acidity.
1500 mg pheasant’s eye,
 Tablets, chewable: squill.
350 mg, 400mg, 450
mg, 500 mg, 750 mg,
850 mg, 1000 mg,
1177 mg, 1250 mg.