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Rationale:: Drug MOA Indication Contraindication Side Effects Nursing Implication Assessment

Calcitonin is used to treat hypercalcemia by binding to calcitonin receptors in osteoclasts, enhancing vitamin D production and calcium retention in bones. It can be administered intranasally or subcutaneously. Common side effects include nausea, vomiting, diarrhea and flushing. Nurses should assess for allergies, monitor calcium levels, and educate patients on proper administration and side effect reporting.

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Trishia Mae Gallardo
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151 views

Rationale:: Drug MOA Indication Contraindication Side Effects Nursing Implication Assessment

Calcitonin is used to treat hypercalcemia by binding to calcitonin receptors in osteoclasts, enhancing vitamin D production and calcium retention in bones. It can be administered intranasally or subcutaneously. Common side effects include nausea, vomiting, diarrhea and flushing. Nurses should assess for allergies, monitor calcium levels, and educate patients on proper administration and side effect reporting.

Uploaded by

Trishia Mae Gallardo
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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DRUG MOA INDICATION CONTRAINDICATION SIDE EFFECTS NURSING IMPLICATION

Assessment
CALCITONIN Calcitonin binds -usedto treat  History: Allergy to
-not indicated -not indicated
salmon calcitonin or fish
to the calcitonin hypercalcemia products, lactation, osteoporosis,
BRAND NAME:
receptor (found COMMON SIDE pernicious anemia, renal disease.
-Miacalcin
primarily in EFFECTS:  Physical: Skin lesions, color, T;
osteoclasts) muscle tone; urinalysis, serum
 nausea or calcium, serum alkaline
which then RATIONALE: vomiting. phosphatase and
DOSAGE: enhances the -Calcitonin is
-not indicated  diarrhoea. urinary hydroxyproline excretion
production of involved in  abdominal pain.
vitamin D helping to Administration
 flushing.
producing regulate levels Allergy Test Dose
 dizziness.
ROUTE: enzymes (25- of calcium
-not indicated  headache.
hydroxyvitamin and phosphate in  An allergy skin test is usually
e D-24- the blood,  musculoskeletal done prior to initiation of
hydroxylase), opposing the pain. therapy. The appearance of more
FREQUENCY: leading to action  taste than mild erythema or wheal 15
min after intracutaneous
-not indicated greater calcium of parathyroid disturbance. injection indicates that the drug
retention and hormone. This should not be given.
Intranasal
enhanced bone means that it
density.  acts to reduce  Activate the pump prior to first
CLASSIFICATION calcium levels in use; hold bottle upright and
: the blood. depress white side arms 6 times.
- polypeptide  The nasal spray is administered
hormone in one nostril daily; alternate
nostrils.
Subcutaneous

 Calcitonin human is
administered only by SC
injection; calcitonin salmon may
be administered by SC or IM
injection.
Intramuscular
 Use IM route when the volume
to be injected is >2 mL.
 Rotate injection sites.
 Store calcitonin (human) at 25°
C (77° F) or less, protected from
light, unless otherwise specified
by manufacturer.
 Store calcitonin (salmon) in
refrigerator, preferably at 2°–8°
C (36°–46° F) unless otherwise
directed.
Patient & Family Education

 Use the SC route for self-


administration.
 Watch for redness, warmth or
swelling at injection site and
report to physician, as these may
indicate an inflammatory
reaction. The transient flushing
that commonly occurs following
injection of calcitonin,
particularly during early therapy,
may be minimized by
administrating the drug at
bedtime. Consult physician.
 Maintain your drug regimen
even though symptoms have
been ameliorated to prevent
early relapses.
 Ensure that you feel comfortable
using the nasal pump properly.
Notify physician if significant
nasal irritation occurs.
 Consult physician before using
OTC preparations. Some
supervitamins, hematinics, and
antacids contain calcium and
vitamin D (vitamin may
antagonize calcitonin effects).

https://go.drugbank.com/drugs/DB06773

https://www.yourhormones.info/hormones/calcitonin/#:~:text=Calcitonin%20reduces%20calcium%20levels%20in,is%20released%20into%20the
%20bloodstream.

http://www.robholland.com/Nursing/Drug_Guide/data/monographframes/C005.html

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