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    Calcium Gluconate Drug Study

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    Michael Baylon Dueñas
    Calcium gluconate is given intravenously to treat negative calcium balance and hypocalcemia. It works by increasing cardiac muscle tone and contraction strength. It should be administered over 20 minutes to reduce risks of hypotension, bradycardia, arrhythmias, and cardiac arrest. Nurses should monitor for signs of hypercalcemia on ECG and cutaneous burning during injection, and check electrolyte levels during sustained therapy.

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    Calcium Gluconate Drug Study

    Uploaded by

    Michael Baylon Dueñas
    4K views1 page
    Calcium gluconate is given intravenously to treat negative calcium balance and hypocalcemia. It works by increasing cardiac muscle tone and contraction strength. It should be administered over 20 minutes to reduce risks of hypotension, bradycardia, arrhythmias, and cardiac arrest. Nurses should monitor for signs of hypercalcemia on ECG and cutaneous burning during injection, and check electrolyte levels during sustained therapy.

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    160943637-Calcium-Gluconate-Drug-Study.doc

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    Calcium gluconate is given intravenously to treat negative calcium balance and hypocalcemia. It works by increasing cardiac muscle tone and contraction strength. It should be administered over 20 minutes to reduce risks of hypotension, bradycardia, arrhythmias, and cardiac arrest. Nurses should monitor for signs of hypercalcemia on ECG and cutaneous burning during injection, and check electrolyte levels during sustained therapy.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    4K views1 page

    Calcium Gluconate Drug Study

    Uploaded by

    Michael Baylon Dueñas
    Calcium gluconate is given intravenously to treat negative calcium balance and hypocalcemia. It works by increasing cardiac muscle tone and contraction strength. It should be administered over 20 minutes to reduce risks of hypotension, bradycardia, arrhythmias, and cardiac arrest. Nurses should monitor for signs of hypercalcemia on ECG and cutaneous burning during injection, and check electrolyte levels during sustained therapy.

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    © All Rights Reserved
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    of 1

    Name Of Drug

    Dose, Route,
    Freque
    ncy

    Generic Name:
    Calcium
    Gluconate

    Dose:
    1ampule

    Brand Name:
    Calgonate
    Classification:
    Electrolyte and
    Water Balance

    Route:
    IV
    Frequency:
    Over 20
    minutes.

    Mechanism of
    Action

    Indication

    Contraindication

    Adverse Reaction

    Nursing Responsibility

    Calcium
    Gluconate acts
    like digitalis on
    the heart,
    increasing cardiac
    muscle tone and
    force of systolic
    contractions
    (positive
    inotropic effect)

    Negative calcium balance (As in


    neonatal tetany,
    hypoparathyroidism, vitamin D
    deficiency, alkalosis). Also to
    overcome cardiac toxicity of
    hyperkalemia, for
    cardiopulmonary resuscitation, to
    prevent hypocalcemia during
    transfusion of citrated blood. Also
    as antidote for magnesium sulfate,
    for acute symptoms of lead colic,
    to decrease capillary permeability
    in sensitivity reactions, and to
    relieve muscle cramps from insect
    bites or stings. Oral calcium may
    be used to maintain normal
    calcium balance during pregnancy,
    lactation, and childhood growth
    and to prevent primary
    osteoporosis. Also an osteoporosis,
    osteomalacia, chronic
    hypoparathyroidism, rickets, and
    as adjunct in treatment of
    myasthenia gravis and EatonLambert syndrome.

    Ventricular
    fibrillation,
    metastatic bone
    disease, injection
    into myocardium;
    renal calculi,
    hypercalcemia,
    predisposition to
    hypercalcemia
    (hyperparathyroidis
    m, certain
    malignancies);
    digitalis toxicity.

    Body as a Whole:
    tingling sensation.
    With rapid IV,
    sensations of heat
    waves (peripheral
    vasodilation),
    fainting.
    GI: PO
    preparation:
    constipation,
    increased gastric
    acid secretion.
    CV: (with rapid
    infusion)
    hypotension,
    bradycardia,
    cardiac
    arrhythmias,
    cardiac arrest.
    Skin: pain and
    burning at IV site,
    severe Vegas
    thrombosis,
    necrosis and
    sloughing (with
    extravasation).

    Rapidly and
    effectively
    restores serum
    calcium levels in
    acute
    hypocalcemia of
    various origins;
    also effective as a
    cardiac stabilizer
    under conditions
    of hyperkalemia
    or resuscitation.

    Assess for
    cutaneous burning
    sensations and
    peripheral vasodilation,
    with moderate fall in
    BP, during direct IV
    injection.
    Monitor ECG

    during IV
    administration to detect
    evidence of
    hypercalcemia:
    decreased QT interval
    associated with
    inverted T-wave.
    Lab tests:

    determine levels of
    calcium and
    phosphorus and
    magnesium frequently,
    during sustained
    therapy. Deficiencies
    and other ions,
    particularly
    magnesium, frequently
    coexist with calcium
    ion depletion

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