CALCIUM GLUCONATE

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(gloo’koe-nate)
Kalcinate
Classifications: fluid and electrolytic and water balance agent; replacement solution
Pregnancy Category: B

 

NURSING IMPLICATIONS

Assessment & Drug Effects

• 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.
• Observe IV site closely. Extravasation may result in tissue irritation and necrosis.
• Monitor for hypocalcemia and hypercalcemia (see Signs & Symptoms, Appendix F).
• Lab tests: Determine levels of calcium and phosphorus (tend to vary 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 (see Appendix F) 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.

 

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