NURS 2516 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Trade Classification Dose Route Time/frequency

Name Name mineral and electrolyte 250mg po 0900, 2100 twice a day
calcium Tums replacements/supplements
carbonate
(40% Ca or
20 mEq/g)
Peak Onset Duration For IV meds, compatibility with IV drips and /or
Unknown Unknown unknown solutions
N/A
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Calcium supliment
Hypercalcemia

Renal calculi
Ventricular fibrillation
Cereals , spinach , or rhubarb may decrease the
absorption of calcium supplements

Common side effects

Arrhythmias, constipation

Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically)
none
Lab value alterations caused by medicine
Monitor serum calcium or ionized calcium, chloride,
sodium, potassium, magnesium, albumin, and
parathyroid hormone (PTH) concentrations before and
periodically during therapy for treatment of
hypocalcemia
○ May cause decreased serum phosphate
concentrations with excessive and prolonged use.
When used to treat hyperphosphatemia in renal
failure patients, monitor phosphate levels

Be sure to teach the patient the following about this

medication
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Observe patient closely for symptoms of med? Increase in serum calcium
hypocalcemia (paresthesia, muscle twitching, Occurrence of unwanted side effects levels
laryngospasm, colic, cardiac arrhythmias, Decrease in the signs and
Chvostek's or Trousseau's sign). Notify symptoms of hypocalcemia
physician or other health care professional if Resolution of
these occur. indigestion