Monitor phosphate and calcium levels Take with full glass of water Should be

Monitor phosphate and calcium levels take with full

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Monitor phosphate and calcium levels. Take with full glass of water Should be swallowed whole 10-15 minutes before meals. Calcium Salts Calcium acetate (Calphron, PhosLo) Calcium carbonate (Titralac, Calci-chew) Calcium gluconate (Kalcinate) Mineral & electrolyte replace/ supplements Maintain cell membrane and capillary permeability . Replacement of calcium deficiency. Control of hyperphosphatemia in end- stage renal disease without promoting aluminum absorption. Calcium carbonate: Protects heart from effects of hyperkalemia. Tx and prevention of hypocalcemia. Emergency tx of hyperkalemia and hypermagnesemia and adjunct in cardiac arrest. Calcium acetate: Control of hyperphosphatemia in ESRD. Calcium carbonate: May be used as antacid. Cardiac Arrest Arrhythmias Bradycardia Constipation Phlebitis Syncope Tingling Calculi Hypercalciuria. Monitor VS (BP & P) and ECG freq. Observe for s/s of hypocalcemia (paresthesia, muscle twitching, colic) Monitor pt on digitalis glycosides for signs of toxicity. Monitor phosphate levels and electrolytes. For Hyperphosphatemia, hypocalcemia; must take with food.
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CLASSIFICATION NAME MECHANISM OF ACTION INDICATIONS SIDE EFFECTS NURSING CONSIDERATIONS AND PATIENT EDUCATION Synthroid (levothyroxine) Hormones, thyroid preparations ↑ metabolic rate of body tissues. Restores normal hormone balance. Suppresses thyroid cancer. Replacement/substitution in diminished or absent thyroid function. Thyroid cancer (thyrotropin-dependent) Irritability, Insomnia, HA, arrhythmias, tachycardia, weight loss, Cardiovascular Collapse, HTN, ↑ CO Assess AP & BP. For tachyarrhythmias & chest pain. Monitor thyroid function; blood & urine glucose. Give before breakfast (to avoid insomnia) Tapazole (methimazole) Propylthiouracil ( PTU ) Thioamides, Antithyroid agents Prevents the formation of thyroid hormone within the thyroid cells→ ↓serum levels of thyroid hormone. Blocks the utilization of iodine→ prevents synthesis of thyroid hormone Palliative treatment of hyperthyroidism. Rash, N/V, lethargy, drowsiness, bradycardia, Agranulocytosis Methimazole: BM suppression PTU: GI distress Monitor hyperthyroidism response (tachycardia, palpitations, insomnia, fever, heat intolerance, tremors, wt loss) Monitor hypothyroidism (intolerance to cold, constipation, dry skin, HA, weakness) Assess skin for rashes or swollen nodes. Give before breakfast. Seafood and iodine may be restricted. Monitor CBC & differential. Monitor for s/s of infection or bleeding. Bromocriptine (Parlodel) Dopamine agonist/ antineoplastic Direct dopamine agonist on dopamine receptor sites in substantia nigra. Inhibits GH secretion. Antiparkinson agent. Tx of acromegaly. Tx of Parkinson; hyperprolactinemia assoc. with pituitary adenomas, female infertility assoc. with hyperprolactinemia.
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