DRUG STUDY
GENERIC NAME: Calcium Gluconate
Brand name: Kalcinate
Drug Classification: fluid and electrolytic and water balance agent; replacement solution
DOSAGE, ROUTE, SIDE EFFECTS and
FREQUENCY (prescribed and INDICATION MECHANISM OF ADVERSE REACTIONS
recommended) ACTION (by system)
Dosage: adult: PO 1–2 g b.i.d. to Calcium Gluconate Injection, Body Whole: Tingling
q.i.d. IV 7 mEq q 1–3d USP is used to treat sensation. With rapid IV,
Route: Intravenous conditions arising from sensations of heat waves
calcium deficiencies such as
(peripheral vasodilation),
hypocalcemic tetany,
fainting.
hypocalcemia related to
GI: PO preparation:
hypoparathyroidism and
hypocalcemia due to rapid Constipation, increased
growth or pregnancy. It is gastric acid secretion.
also used in the treatment of CV: (With rapid infusion)
blackwidow spider bites to hypotension, bradycardia,
relieve muscle cramping and cardiac arrhythmias, cardiac
as an adjunct in the arrest,
treatment of rickets, Skin: Pain and burning at IV
osteomalacia, lead colic and
site, severe venous
magnesium sulfate
thrombosis, necrosis and
overdosage.
sloughing (with
extravasation).
NURSING RESPONSIBILITIES
CONTRAINDICATION/S (at least 10)
Ventricular fibrillation, metastatic bone Assessment & Drug Effects
disease, injection into myocardium;
administration by SC or IM routes; renal Assess for cutaneous burning sensations and peripheral vasodilation,
calculi, hypercalcemia, predisposition to with moderate fall in BP, during direct IV injection.
hypercalcemia (hyperparathyroidism, Monitor ECG during IV administration to detect evidence of
certain malignancies); pregnancy hypercalcemia: decreased QT interval associated with inverted T wave.
(category B). Observe IV site closely. Extravasation may result in tissue irritation and
Cautious use necrosis.
Digitalized patients, renal or cardiac Monitor for hypocalcemia and hypercalcemia.
insufficiency, sarcoidosis, history of Lab tests: Determine levels of calcium and phosphorus (tend to vary
lithiasis, immobilized patients; lactation. inversely) and magnesium frequently, during sustained therapy.
Deficiencies in other ions, particularly magnesium, frequently coexist
with calcium ion depletion.
Patient & Family Education
Report S&S of hypercalcemia promptly to your care provider.
Milk and milk products are the best sources of calcium (and
phosphorus). Other good sources include dark green vegetables, soy
beans, tofu, and canned fish with bones.
Calcium absorption can be inhibited by zinc-rich foods: nuts, seeds,
sprouts, legumes, soy products (tofu).
Check with physician before self-medicating with a calcium
supplement.
Do not breast feed while taking this drug without consulting physician.
Patient’s Name / Room No.