Calcium Supplements Medication Information | Pharmacology Made Easy PDF

Pharmacology Made Easy Medication Information Table Calcium Supplements – calcium citrate, calcium carbonate Category Information THERAPEUTIC USE Hypocalcemia...

Pharmacology Made Easy Medication Information Table Calcium Supplements – calcium citrate, calcium carbonate Category Information THERAPEUTIC USE Hypocalcemia Clients who have, or are at risk for, experiencing a calcium deficiency $ Adolescents $ Clients who are pregnant, breastfeeding, or postmenopausal $ Clients who are at risk for osteoporosis due to age or lactose intolerance Gastric hyperacidity ADVERSE DRUG Hypercalcemia REACTIONS $ More likely to occur when taking large amounts of vitamin D $ More likely to occur with long-term therapy Nausea, vomiting, and constipation—may occur as adverse effects or secondary to calcium toxicity Kidney stones—in clients with hypercalcemia or a history of kidney stones INTERVENTIONS Monitor serum calcium periodically. Monitor clients for manifestations of decreased gastric and intestinal motility. Monitor clients for urine output in excess of intake. Monitor clients for manifestations of decreased gastric and intestinal motility. Monitor clients for flank pain and blood in urine. ADMINISTRATION Can be given orally or intravenously. Give calcium supplements 1 hr before or 1 to 2 hr after glucocorticoids, thyroid supplements, and tetracycline and quinolone antibiotics. Give calcium-based antacids 1 hr after meals and at bedtime. $ Chewable tablets should be chewed before swallowing. $ Give clients glass of water after swallowing. Copyright ©2023 Assessment Technologies Institute, L.L.C. All rights reserved. This resource is copyright protected material of ATI and is provided for use solely under license by ATI. Copying, distributing, or posting this material on the internet or social media is strictly prohibited. Posting on institution LMS requires ATI’s prior written permission.  PAGE 1 www.atitesting.com ©2023 Assessment Technologies Institute, L.L.C.  Pharmacology Made Easy: Medication Information Table Calcium Supplements – calcium citrate, calcium carbonate Category Information CLIENT INSTRUCTIONS Teach clients signs of hypercalcemia (constipation, nausea and vomiting, increased urine output, depression). Instruct clients to take calcium supplements as prescribed by provider, and not to take additional doses. Instruct clients to report nausea and vomiting to provider. Instruct clients to eat high-fiber diet and take laxative as necessary for constipation. Instruct clients to report flank pain or blood in urine to provider. Instruct clients to take calcium supplements 1 to 2 hr before or after taking other medications such as: glucocorticoids, thyroid supplements, and tetracycline and quinolone antibiotics. Instruct clients to take calcium-based antacids 1 hr after meals and at bedtime. $ Chew tablet before swallowing. $ Drink glass of water after swallowing. $ Do not take more than 600 mg at one time. $ Compare dose with bioavailable amount of calcium in product. CONTRAINDICATIONS Hypercalcemia Kidney stones Low phosphate levels Cardiac dysrhythmias PRECAUTIONS Low gastric motility INTERACTIONS Thiazide diuretics cause decreased excretion of calcium, which may result in hypercalcemia. Calcium supplements decrease absorption of many other medications, such as thyroid hormones, tetracycline and fluoroquinolone antibiotics, bisphosphonates, and phenytoin. Glucocorticoids reduce the absorption of oral calcium supplements. Avoid taking calcium with foods such as cereals, rhubarb, and spinach.  PAGE 2 www.atitesting.com ©2023 Assessment Technologies Institute, L.L.C.