DRUG SUMMARY
Name of Drug Date Classificatio Dose Mechanism Specific Side Effects Nursing Implications
Generic Ordered n Frequency of Action Indication
(Brand) Route
CNS: tingling
Replaces > Hypocal- sensation,
Before:
Calcium calcium cemic syncope with
> Make sure prescriber
specifies form of calcium to
Gluconate and emergency rapid I.V. be given; crash carts may
injection. contain both calcium
maintains > CV: mild drop in gluconate and calcium
calcium Adjunctive blood pressure, chloride.
vasodilation,
level. treatment bradycardia,
> Tell patient to take oral
calcium 1 to 1!/2 hours after
of arrhythmias, meals if GI upset occurs.
cardiac arrest
Magnesium with rapid I.V.
During:
> Give I.M. injection in
intoxication injection. gluteal region in adults and
> GI: irritation, in lateral thigh in infants.
constipation,
Hypophos- nausea,
Use I.M. route only in
emergencies when no I.V.
phatemia vomiting, thirst, route is available bec. of
abd. pain.
> GU: polyuria,
irritation of tissue by
calcium salts.
Hyperkale renal calculi. > Tell patient to take oral
mia with Metabolic: calcium with a full glass of
hyper-calcemia
secondary Skin: local
water.
After:
cardiac reactions, > Monitor calcium levels
including
toxicity burning,
frequently. Hypercalcemia
may result after large doses
necrosis, tissue in chronic renal failure.
sloughing, Report abnormalities.
cellulites, soft
tissue
calcification with
I.M. use, pain.