Antacid - Calcium Carbonate (Tums) Flashcards

Study Notes

Brand Name

Tums is the brand name for the calcium carbonate antacid.

Classification

Classified as an antacid, it helps neutralize stomach acid.

Action and Therapeutic Effect

Acts rapidly with high neutralizing capacity and prolonged duration of action.
Decreases gastric acidity, reducing proteolytic action of pepsin on gastric mucosa.
Utilized for calcium replacement therapy and effectively alleviates symptoms of acid indigestion.
Serves as a calcium supplement.

Uses

Provides relief from transient hyperacidity symptoms such as acid indigestion, heartburn, peptic esophagitis, and hiatal hernia.
Functions as a calcium supplement in mild calcium deficiency.

Contraindications

Not recommended for individuals with hypercalcemia, hypercalciuria, or calcium loss due to conditions like renal failure and dehydration.
Caution required in cases of cardiac disease, GI hemorrhage or obstruction, and when digitalis toxicity is a concern.

Medication Administration

Administered orally.

Adverse Effects

Gastrointestinal issues may include constipation, diarrhea, nausea, and flatulence.
Metabolic effects can lead to hypercalcemia, alkalosis, and hypomagnesemia.
Possible CNS effects include mood changes and alterations in mental state.
Urogenital side effects may involve polyuria and renal calculi.

Interactions

May enhance the effects of digoxin, leading to increased inotropic and toxic effects.
Competes with magnesium for gastrointestinal absorption and decreases absorption of certain antibiotics like tetracyclines and quinolones.

Nursing Implications and Patient Education

Monitor stool consistency and frequency; address constipation if needed.
Observe for symptoms of hypercalcemia, especially in frequent/high dosages or renal impairment.
Conduct regular lab tests for serum and urine calcium, particularly in prolonged therapy.
Advise against use beyond 1-2 weeks to avoid acid rebound effects.
Caution against self-medication beyond two weeks and advise against combining with high oxalate foods.
Avoid repeating use with high vitamin D foods to prevent milk-alkali syndrome, characterized by hypercalcemia and metabolic issues.

Description

This quiz focuses on the flashcards related to the antacid Tums, which contains calcium carbonate. Explore its brand name, classification, and therapeutic effects to enhance your understanding of this common medication. Perfect for students and healthcare professionals alike.