Elisabeth Fandrich

March 4, 2008
NURS 2516 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 24hrs
gastric acid Dose Range: Rate of Administration (IV):
pump inhibitors N/A
Peak Onset Duration For IV meds
Unknown 2.5 hrs 1 week Compatibility with IV drips and /or solutions:
N/A
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Binds to an enzyme in the presence of acidic gastric pH, Hypersensitivity, do not break chew or crush tablets
preventing the final transport of hydrogen ions into the
gastric lumen Common side effects
Diminished accumulation of acid in the gastric lumen, No common side effects
with lessened acid reflux, Healing of duodenal ulcers and
esophagitis, Decreased acid secretion in hypersecretory
conditions. Heartburn
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) May cause abnormal liver function tests, including ↑ AST,
None known ALT, alkaline phosphatase, and bilirubin
Be sure to teach the patient the following about this
medication
Instruct patient to take medication as directed for the full
course of therapy, even if feeling better, take before
mealsAdvise patient to 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 Assessment Evaluation

(Pre-administration assessment) Why would you hold or not give Check after giving
Assess patient routinely for epigastric or this med? Healing in patients with erosive
abdominal pain and for frank or occult blood Hypersensitivity, signs of gastric esophagitis. Therapy is continued
in stool, emesis, or gastric aspirate bleeding for up to 8 wk