Classifications: fluid and electrolytic and water balance agent; replacement solution
Pregnancy Category: B
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.