Calcium Carbonate (Tums) Nursing Considerations

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Calcium carbonate

Trade Name

Tums/Rolaids

Indication

Treatment of hypocalcemia, prevention of postmenopausal osteoporosis, treat- ment of hyperkalemia and hypermagnesemia, used as antacid

Action

Calcium is essential for nervous, muscular, and skeletal systems, helps maintain cell membranes, aids in transmission of nerve impulses and muscle contraction, aids in blood formation and coagulation

Therapeutic Class

Mineral and electrolyte replacements/supplements

Pharmacologic Class

Antacids

Nursing Considerations

• May cause cardiac arrest and arrhythmias • Monitor hemodynamics • May causes hypotension, bradycardia, and arrhythmias • Hypercalcemia can increase risk for digoxin toxicity • Instruct pt on foods that contain Vitamin D and encourage adequate intake • Monitor parathyroid hormone