Calcium Carbonate Nursing Considerations, Side Effects, Mechanism of Action Pharmacology for Nurses

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Calcium carbonate
Generic Name: calcium carbonate
Trade Name: Tums / Rolaids
Indication: treatment of hypocalcemia, prevention of post menopausal osteoporosis, treatment of hyperkalemia and hypermagnesaemia, used as antacid
Action: calcium is essential for nervous, muscular, and skeletal systems, helps maintain cell membranes, aids in transmission of nerve impulses and muscle contraction, aids in blood formation and coagulation
Therapeutic Class: mineral and electrolyte replacements/supplements
Pharmacologic Class: antacids
Nursing Considerations:
 may cause cardiac arrest and arrhythmias
 monitor hemodynamics
 may causes hypotension, bradycardia, and arrhythmias
 hypercalcemia can increase risk for digoxin toxicity
 instruct pt on foods that contain Vitamin D and encourage adequate intake
 monitor parathyroid hormone

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