Miki - Calcium Carbonate

Question 1

Drug names

Answer 1

Generic - calcium carbonate

Trade - Tums

Question 2

Drug classes

Answer 2

Therapeutic
- mineral and electrolyte supplement

Pharmacological
- antacids

Question 3

Indications

Answer 3

Treatment/prevention of hypocalcemia

Prevent osteoporosis

Relief of heartburn

Question 4

Action

Answer 4

Needed for nervous/musculoskeltal systems

Maintain cell membrane

Bone formation

Blood coagulation

Question 5

Therapeutic effects

Answer 5

Replacement calcium

Controls hyperphosphatemia in renal disease

Question 6

Contra indications

Answer 6

Hypercalcemia
Renal calculus (kidney stones)
Ventricular fibrillation

Use cautiously in:
- respiratory insufficiency
- renal impairment
- cardiac disease

Question 7

Adverse affects

Answer 7

Frequent:
- arrhythmias
- constipation

Question 8

Safe dose

Answer 8

Miki takes for OP

Safe dose - 1-2g/d in 3-4 doses

Question 9

Why is miki taking

Answer 9

OP

Question 10

Side effects in miki

Answer 10

Dark stool could be constipation due to CC

Question 11

This drug and miki

Answer 11

Dysphasia

Miki takes alendronate
- CC can decrease absorption of alendronate
- take CC 30 mins before

May decrease absorption of ASA and ramipril

Question 12

Nursing actions

Answer 12

Given 60-90 mins pc meals

Observe for hyper/hypocalcemia
- twitching, chvosteks or trousseaus sign

Encourage vit D in diet

Question 13

Chvosteks sign

Answer 13

Facial twitch when facial nerve is tapped

Question 14

Trousseaus sign

Answer 14

Hand spasm when BP cuff is inflated for too long

Question 15

Waht does miki Need to know

Answer 15

This will make you feel stronger