Clinical Medications Worksheets

Generic Name Trade Name Classification Dose Route Time/frequency

Calcium Calcium 600 + D mineral and electrolyte 1000mg/400 IU PO qd
carbonate/ replacements/supplements
Vitamin D
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
Unknown Unknown unknown N/A
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Mineral/electrolyte/vitamin supplement
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Interactions with other patient drugs, OTC or herbal medicines Lab value alterations caused by medicine
(ask patient specifically) Monitor serum calcium or ionized calcium, chloride, sodium,
Milk of Magnesia: Use of magnesium-containing products with a potassium, magnesium, albumin, and parathyroid hormone
vitamin D analog may increase the risk of hypermagnesemia. (PTH) concentrations. May cause decreased serum phosphate
Norvasc: Calcium-containing products may decrease the concentrations with excessive and prolonged use. When used
effectiveness of calcium channel blockers by saturating calcium to treat hyperphosphatemia in renal failure patients, monitor
channels with calcium. phosphate levels.
Lorazepam: A number of studies have reported that antacids can
delay the gastrointestinal absorption and reduce the peak plasma
concentration (Cmax) of some benzodiazepines, including
clorazepate, chlordiazepoxide and diazepam, although the overall
extent of absorption is generally not affected. Be sure to teach the patient the following about this
medication
Instruct patient not to take enteric-coated tablets within 1 hr of
calcium carbonate; this will result in premature dissolution of
the tablets. Do not administer concurrently with foods
containing large amounts of oxalic acid (spinach, rhubarb),
phytic acid (brans, cereals), or phosphorus (milk or dairy
products). Administration with milk products may lead to
milk-alkali syndrome (nausea, vomiting, confusion,
headache). Do not take within 1-2 hr of other medications if
possible. Instruct patients on a regular schedule to take
missed doses as soon as possible, then go back to regular
schedule. Advise patient that calcium carbonate may cause
constipation. Review methods of preventing constipation
(increasing bulk in diet, increasing fluid intake, increasing
mobility) and using laxatives. Severe constipation may
indicate toxicity. Advise patient to avoid excessive use of
tobacco or beverages containing alcohol or caffeine.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this med? Check after giving
Observe patient closely for symptoms of Occurrence of unwanted side effects. Nausea, Increase in serum calcium
hypocalcemia (paresthesia, muscle twitching, vomiting, anorexia, thirst, severe constipation, levels.
laryngospasm, colic, cardiac arrhythmias, Chvostek's paralytic ileus, and bradycardia.
or Trousseau's sign). Notify physician or other health
care professional if these occur.