NURS 1556 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency

pantoprazole Protonix antiulcer agents, 40 mg PO Q HS
gastric acid pump
inhibitors
Peak Onset Duration For IV meds, compatibility with IV drips and /or
Unknown 2.5 hrs 1 week solutions

Mechanism of action and indications (Why med ordered)
Binds to an enzyme in the presence of acidic gastric pH,
preventing the final transport of hydrogen ions into the
gastric lumen. Diminished accumulation of acid in the
gastric lumen, with lessened acid reflux, Healing of
duodenal ulcers and esophagitis, Decreased acid
secretion in hypersecretory conditions. For GERD.
Nursing Implications (what to focus on)
Contraindications/warnings/interactions -
Hypersensitivity, do not break chew or crush tablets
Common side effects – headache, abdominal pain,
diarrhea, hyperglycemia

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine - May cause
medicines (ask patient specifically) – Coumadin may abnormal liver function tests, including increase in AST,
increase risk of bleeding. ALT, alkaline phosphatase, and bilirubin
Be sure to teach the patient the following about this
medication - Take for the full course of therapy, even if
feeling better, take before meals. Avoid alcohol, products
containing aspirin or NSAIDs, and foods that may cause
an increase in GI irritation, Advise patient to report onset
of black, tarry stools; diarrhea; or abdominal pain to
health care professional promptly
Nursing Process- Assessment (Pre- Assessment Evaluation Check after
administration assessment) - Assess patient Why would you hold or not give this giving - Healing in patients
routinely for epigastric or abdominal pain and med? - Hypersensitivity, signs of with erosive esophagitis.
for frank or occult blood in stool, emesis, or gastric bleeding Therapy is continued for up
gastric aspirate to 8 wk