The nurse is caring for a patient who will receive 10% calcium gluconate to treat a serum potassium level of 5.9 mEq/L. The nurse performs a drug history prior to beginning the infusion. Which drug taken by the patient would cause concern?
a. Digitalis
b. Hydrochlorothiazide
c. Hydrocortisone
d. Vitamin D
ANS: A
Calcium gluconate is given to treat hyperkalemia in order to decrease irritability of the myocardium. When administered to a patient taking digitalis, it can cause digitalis toxicity. The other drugs may affect potassium levels but are not a cause for concern with calcium gluconate.
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Standard Text: Select all that apply. 1. Soy sauce 2. Yogurt 3. Milk 4. Strawberries 5. Red meat