Dark green vegetables, tofu, cheese and dairy products
Monitor calcium levels 3 to 4 times a year
Nursing Interventions:
Promote nutrition and electrolyte balance
Encourage progressive activity
Promote comfort and safety to prevent falls
Teaching to include medications and referral for follow up visits to monitor treatment
References: Lewis, S., Dirksen, S., Heitkemper, M., Bucher, L., & Camera, I. (2011). Medical surgical nursing: assessment and management of clinical problems (8th ed.). St. Louis, MO: Elsevier Mosby. Hogan, M. A. (2008). Medical Surgical Nursing: Review and Rationales (2nd ed.) Upper Saddle River, NJ: Pearson Prentice Hall.
Treatment measures, Medications, Surgery and Nursing Interventions
By Brandon Arndt
Treatment Measures:
Short-term or initial treatment
- Slow infusion of calcium chloride, calcium gluconate, or calcium gluceptate
- Monitor electrolytes
- ECG monitoring
- High serum calcium levels can cause serious dysrhythmias
- Rebreathing into a paper bag to reduce pH in order to increase available calcium in the body
- PTH replacement may be used only temporarily because of its costs and it is administered parenterally
Long-Term medication treatment- Supplemental vitamin D - orally (helps promote absorption of calcium)
Preferred preparations include:- Monitor calcium levels 3 to 4 times a year
Nursing Interventions:References:
Lewis, S., Dirksen, S., Heitkemper, M., Bucher, L., & Camera, I. (2011). Medical surgical nursing: assessment and management of clinical problems (8th ed.). St. Louis, MO: Elsevier Mosby.
Hogan, M. A. (2008). Medical Surgical Nursing: Review and Rationales (2nd ed.) Upper Saddle River, NJ: Pearson Prentice Hall.