Calcium

Question 1

Main purpose of calcium

Answer 1

strength and rigidity of bones

Question 2

Other purposes of calcium

Answer 2

normal blood coagulation, neuromuscular stimulation, myocardial muscle stimulation/contraction

Question 3

Hypocalcemia causes

Answer 3

kidney disease/injury, vitamin D deficiency, alcoholism, pancreatitis

Question 4

s/s of hypocalcemia

Answer 4

(CATSS) convulsions, arrhythmias, tetany, spasms, stridor, chvostek’s sign, trousseau’s sign, hyperactive bowel

Question 5

Treatment of hypocalcemia

Answer 5

IV calcium gluconate in D5W, slowly infused and diluted to prevent cardiac arrest

Question 6

Nursing management of hypoglycemia

Answer 6

airway assessment, assess s/s, seizure precautions, monitor ECG

Question 7

Hypercalcemia causes

Answer 7

malignant tumors, hyperparathyroidism, thiazide diuretics, lithium

Question 8

s/s of hypercalcemia

Answer 8

muscle weakness, decreased tendon reflexes, changes in LOC, decreased GI function, cardiac changes

Question 10

Treatment of hypercalcemia

Answer 10

promote calcium elimination by kidneys, isotonic fluids, loop diuretics, IM calcitonin, IV phosphate,

Question 11

Nursing management of hypercalcemia

Answer 11

encourage fluids, monitor cardiac function and bp, increase fiber and client mobility