Podcast
Questions and Answers
What are common side effects of calcium supplements?
What are common side effects of calcium supplements?
- Headache and dizziness
- Nausea and diarrhea
- Abdominal distention and constipation (correct)
- Muscle weakness and joint pain
What is the recommended action after taking alendronate?
What is the recommended action after taking alendronate?
- Engage in vigorous exercise
- Report adverse effects to the health care provider immediately (correct)
- Lie down for at least 30 minutes
- Consume food or beverages immediately
When is it recommended to take a calcium supplement with vitamin D?
When is it recommended to take a calcium supplement with vitamin D?
- After exercising
- On an empty stomach
- With meals or with a beverage high in vitamin C (correct)
- Before bedtime
Which drug is used to treat osteoporosis in postmenopausal women at high risk of fracture?
Which drug is used to treat osteoporosis in postmenopausal women at high risk of fracture?
What does meta-analysis findings demonstrate about vitamin D in primary prevention of fractures?
What does meta-analysis findings demonstrate about vitamin D in primary prevention of fractures?
What is the primary function of calcitonin in hypercalcemia?
What is the primary function of calcitonin in hypercalcemia?
In addition to calcium, what other supplement reduces the risk of fractures in vitamin D deficient patients?
In addition to calcium, what other supplement reduces the risk of fractures in vitamin D deficient patients?
Which drug is administered subcutaneously at 6-month intervals?
Which drug is administered subcutaneously at 6-month intervals?
What is the recommended posture for a person after taking alendronate?
What is the recommended posture for a person after taking alendronate?
What type of drugs should calcium and vitamin D be taken as supplements to?
What type of drugs should calcium and vitamin D be taken as supplements to?
What type of therapy is no longer recommended, but synthetic human PTH analogues are used in patients with advanced osteoporosis or who are treatment resistant?
What type of therapy is no longer recommended, but synthetic human PTH analogues are used in patients with advanced osteoporosis or who are treatment resistant?
What is the primary adverse effect of bisphosphonates?
What is the primary adverse effect of bisphosphonates?
What is a key consideration when administering IV calcium preparations?
What is a key consideration when administering IV calcium preparations?
What is a good source of dietary calcium?
What is a good source of dietary calcium?
Why is treatment of hypomagnesemia essential before treating hypocalcemia?
Why is treatment of hypomagnesemia essential before treating hypocalcemia?
What should be done to manage hypocalcemia?
What should be done to manage hypocalcemia?
What can excessive vitamin D use lead to?
What can excessive vitamin D use lead to?
Why should calcium supplements be avoided with certain medications and foods?
Why should calcium supplements be avoided with certain medications and foods?
What are some potential consequences of vitamin D excess?
What are some potential consequences of vitamin D excess?
What is a contraindication to vitamin D?
What is a contraindication to vitamin D?
What is a potential risk for patients on long-term alendronate therapy?
What is a potential risk for patients on long-term alendronate therapy?
What must be done to prevent interactions and ensure proper administration of alendronate?
What must be done to prevent interactions and ensure proper administration of alendronate?
What are bisphosphonates like alendronate used to prevent and treat?
What are bisphosphonates like alendronate used to prevent and treat?
What are some patient teaching guidelines for vitamin D?
What are some patient teaching guidelines for vitamin D?
What is the recommended posture for a person after taking calcium medications?
What is the recommended posture for a person after taking calcium medications?
Where does the absorption of calcium primarily occur?
Where does the absorption of calcium primarily occur?
What are the rare side effects associated with calcium preparations?
What are the rare side effects associated with calcium preparations?
Which population is hypocalcemia uncommon in?
Which population is hypocalcemia uncommon in?
What is the essential use of IV calcium preparations?
What is the essential use of IV calcium preparations?
What may patients with renal impairment use calcium acetate for?
What may patients with renal impairment use calcium acetate for?
Study Notes
Calcium Preparations and Their Clinical Implications
- Medications must be taken on an empty stomach, with water, and the person must sit upright for at least 30 minutes after ingestion
- Risks of using these medications include gastritis, ulceration, and GI bleeding
- Rare side effects include osteonecrosis of the jaw and subtrochanteric fractures
- Calcium is available in different forms and routes of administration
- Absorption of calcium occurs in the small intestine, where approximately one third of the amount consumed is absorbed
- Oral and IV calcium preparations help maintain normal calcium levels
- Oral calcium provides relief from symptoms of acid indigestion and heartburn, decreases bone loss, and fractures, especially in women
- IV calcium is essential for the treatment of acute, severe hypocalcemia
- Hypocalcemia is uncommon in older adults, but calcium deficiency commonly occurs due to dietary deficiencies and impaired absorption
- Patients with renal impairment may use calcium acetate to prevent or treat hyperphosphatemia
- Adverse effects of hypercalcemia include GI effects, central nervous system effects, cardiac effects, weakness, and decreased tone in muscles
- Various medications and foods interact with calcium supplements, increasing or decreasing their effects
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Description
Test your knowledge about calcium preparations and their clinical implications with this quiz. Explore the different forms and routes of administration, absorption, risks, benefits, and interactions of calcium medications. Assess your understanding of the management and treatment of hypocalcemia and hypercalcemia, as well as the impact of calcium deficiency in older adults and patients with renal impairment.
