Calcium Citrate - ATI templates and testing material. PDF

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ATI templates and testing material....

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ACTIVE LEARNING TEMPLATE:

Medication

Melyn Cruz STUDENT NAME _____________________________________ Calcium citrate 34 MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ Calcium supplements CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION

Expected Pharmacological Action Maintanence of musculoskeletal, neurological, and cardiovascular function

Therapeutic Use Hypocalcemia or deficiencies of parathyroid hormone, vitamin D, or dietary calcium

Complications Hypercalcemia (tachycardia and elevated BP leading to bradycardia and hypotension, muscle weakness, hypotonia, constipation, nausea, vomiting, abdominal pain, lethargy, and confusion)

Medication Administration Chewable tablets provide more consistent bioavailability

Contraindications/Precautions Hypercalcemia, renal calculi, hypophosphatemia, digoxin toxicity, ventricular fibrillation, kidney disease, and decreased GI function

Interactions Glucocorticoids reduce absorption Calcium reduces absorption of tetracyclines and thyroid hormones Thiazide diuretics increases risk of hypercalcemia Spinach, rhubarb, beets, bran, and whole grains can decrease absoption Concurrent use with digoxin and parenteral calcium can lead to severe bradycardia

Evaluation of Medication Effectiveness Blood calcium level within expected reference range

ACTIVE LEARNING TEMPLATES

Nursing Interventions Monitor serum calcium level, as ordered, and evaluate therapeutic response by assessing for Chvostek's and Trousseau's signs, which shouldn't appear

Client Education Take at least 1 hour apart from glucocorticoids and tetracyclines and at least 4 hours apart from thyroid hormone Take oral calcium with an 8oz glass water Dissolve effervescent tablets in water and drink immediately Store at room temperature, do not freeze...