calcium carbonate

Question 1

generic name

Answer 1

calcium carbonate

Question 2

trade name (4)

Answer 2

-Maalox (for heartburn)
-Titralac (stomach acid)
-Tums
-Tums E-X

Question 3

therapeutic class

Answer 3

-Mineral
-Electrolyte replacements/supplements

Question 4

pharmacological class

Answer 4

-Antacids (medicines that neutralize stomach acid to relieve indigestion and heart burn)

Question 5

indication (3)

Answer 5

-Treatment and prevention of hypocalcemia (Calcium carbonate dissolves in stomach acid, releasing calcium for absorption)

-Used to prevent postmenopausal osteoporosis (supplement)

-Used as antacid

Question 6

action/desired effect (4)

Answer 6

• Essential for nervous, muscle and skeletal systems ]

-Maintains cell membrane (bc of electrolyte fx)

-Essential for bone formation and blood coagulation

-Replacement of calcium in deficiency states

Question 7

critical side effects

Answer 7

None for PO. Most frequent are hypercalcemia, constipation

Question 8

Why is the client taking this med?

Answer 8

-Client is taking this medication to supplement Ca+ because she is diagnosed with OSTEOPOROSIS (35% bone mass loss)

-She is NOT taking it for her HEARTBURN. But provides TEMPORARY RELIEF from her heart burn

Question 9

Any side effects experienced by miki?

Answer 9

n/a

Question 10

What is important to know about this medication in relation to miki? (2)

Answer 10

• Miki is unaware of the med’s purpose = Important to remind her of its PURPOSE.
• RECONSIDER if this medication is working for Miki as she is permanently hunched, and experience back pain from an old spinal compression fracture (did not heal) and if it is not working maybe consider removing it from her intake list

Question 11

nursing actions for the med (3)

Answer 11

• assess for HYPERCALCEMIA (nausea, vomiting, anorexia, thirst, severe constipation, bradycardia)
• muscle twitching & laryngospasm (involuntary contraction of the vocal cords).
• Monitor BP, pulse and ECG frequently to not any hypotension, bradycardia, arrhythmias and cardiac arrest

Question 12

What does the client need to know about this med? (4)

Answer 12

• Advise that this med may cause CONSTIPATION
• NO MEDS 1-2 hours within taking this one
• Dont take meds with large amounts of oxalix acid (spinach) phytic acid (brans and cereal) and phosphurus (milk/dairy products)
• Advise client to notify them if signs of HYPERCALCEMIA occur (anorexia, nausea, vomiting, confusion, stupor, extreme diarrhea)