tums in an ng tube | allnurses

tums in an ng tube

  1. 0 Is the dumbest thing that I have every heard of. But the cherry on top is that it is 3 times a day. Crushing tums makes them chalky and a mess. Not to mention clogging the damn tube up. I have had to do this for the last 3 days and every time i start my process my mind begins to wonder 1- is there not some other medication that could be doing this better,
    2- omg not again, and 3- if the doctor that wrote this stupid order had to do this just once the order would be changed due to the pure stupidity of it.

    Ok I have ranted thank you. Anyone else have moments like these when doing a task and thinking boy if the doctor that wrote this order had to do this it would be changed?
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  2. 16 Comments

  3. Visit  Altra profile page
    #1 0
    Think through how the patient could get the same pharmacological effects from an alternative med and ask that the order be changed. Hint: Pepcid.
  4. Visit  BostonFNP profile page
    #2 1
    Quote from Altra
    Think through how the patient could get the same pharmacological effects from an alternative med and ask that the order be changed. Hint: Pepcid.
    I agree that the order may be able to be changed, but Tums to Pepcid isn't a direct substitution, especially if the Tums aren't for antacid.
  5. Visit  KelRN215 profile page
    #3 2
    Tums is Calcium Carbonate. Calcium Carbonate is available in liquid suspension form. I gave it all the time in inpatient pediatrics.
  6. Visit  Altra profile page
    #4 0
    Tums is calcium carbonate and 10mg famotidine. Alternative forms of both are available.
  7. Visit  Kunzieo profile page
    #5 1
    Until you get the order changed...

    Crush finely
    Use HOT water to dissolve it.
    Mix with 10ml regular temp water and give in tube.
    Voila
  8. Visit  dudette10 profile page
    #6 2
    Quote from Altra
    Tums is calcium carbonate and 10mg famotidine. Alternative forms of both are available.
    I looked up Tums after this post. From what I read, Tums is just calcium Carbonate. Tums Dual Action contains the both active ingredients you described. Apparently, there are two formulations of Tums on the OTC market.
  9. Visit  KBICU profile page
    #7 0
    Why not good ol Protonix?
  10. Visit  dudette10 profile page
    #8 0
    Quote from Kara RN BSN
    Why not good ol Protonix?
    As BostonFNP said, it depends on why Tums is prescribed, aside from the fact that protonix and famotidine are two different classes that have a similar action. From my reading, Tums can be used as a cheap calcium supplement--apparently cheaper than those drugs used approved as calcium substitutes only.
  11. Visit  KelRN215 profile page
    #9 0
    Quote from dudette10
    I looked up Tums after this post. From what I read, Tums is just calcium Carbonate. Tums Dual Action contains the both active ingredients you described. Apparently, there are two formulations of Tums on the OTC market.
    I did the same thing because when I worked in the hospital, if a patient was ordered for Tums, it was ordered as "Calcium Carbonate".
  12. Visit  amoLucia profile page
    #10 0
    Quote from Kara RN BSN
    Why not good ol Protonix?
    Is protonix crush-able??
  13. Visit  ChristineN profile page
    #11 0
    Quote from amoLucia
    Is protonix crush-able??
    Nope. But my hospital stocks protonix granules for this purpose
  14. Visit  Nurseboy1 profile page
    #12 1
    Are they using the tums as a phosphate binder though?

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