Name of Drug Mechanism of Action Indication Contraindication Adverse Effects Nursing
Responsibilities
Generic Name: Calcium is an IV: Treatment of Ventricular fibrillation, Frequency Not -Assess for
Calcium gluconate essential element hypocalcemia and metastatic bone Defined cutaneous burning
systemic for regulating the conditions secondary disease, injection into sensations and
excitation to hypocalcemia (eg, myocardium; Bradycardia
peripheral
Brand Name: threshold of tetany, seizures, administration by SC Hypotension vasodilation, with
Cal-GLU, Kalcinate, nerves and arrhythmias); or IM routes; renal moderate fall in
Cal-G muscles, for blood treatment of cardiac calculi, Headache
BP, during direct IV
clotting disturbances hypercalcemia, Constipation injection.
Classification: mechanisms, secondary to predisposition to
cardiac function hyperkalemia; hypercalcemia Diarrhea
fluid and electrolytic -Monitor ECG
(rhythm, tonicity, adjunctive treatment (hyperparathyroidism,
and water balance Flatulence during IV
contractility), of rickets, certain malignancies);
agent; replacement administration to
maintenance of osteomalacia, and pregnancy Nausea
solution renal function, for magnesium sulfate (category B). detect evidence of
body skeleton and overdose; decrease Vomiting hypercalcemia:
teeth. Also plays capillary permeability Hypomagnesemia
decreased QT
a role in in allergic conditions, interval associated
regulating storage nonthrombocytopenic Hypophosphatemia with inverted T
and release of purpura, and
Extravasation
wave.
neurotransmitters exudative necrosis
and hormones; dermatoses (eg, -Observe IV site
regulating amino dermatitis closely.
acid uptake and herpetiformis, Extravasation may
absorption of pruritus secondary to result in tissue
vitamin B12, certain drugs); irritation and
gastrin secretion, treatment of black
necrosis.
and in widow spider bites to
maintaining relieve muscle
cramping. -Monitor for
structural and hypocalcemia and
functional
hypercalcemia (see
integrity of cell
Signs & Symptoms,
membranes and
Appendix F).
capillaries.
Calcium gluconate
acts like digitalis -Lab tests:
on the heart, Determine levels of
increasing cardiac calcium and
muscle tone and phosphorus (tend
force of systolic to vary inversely)
contractions and magnesium
(positive inotropic frequently, during
effect). sustained therapy.
Deficiencies in
other ions,
particularly
magnesium,
frequently coexist
with calcium ion
depletion.