Adrianne Bazo

October 21, 2008

NURS 2516 Clinical Medications Worksheets

Generic Trade Name Classification Dose Route Time/frequency:

Name Protonix IV antiulcer agents, 40 mg IV Q 24hrs
pantoprazole gastric acid Dose Range: Rate of Administration (IV)
pump inhibitors 40mg q day for Administer 4 mg/ml solution
7-10 days undiluted over at least 2 min.
Peak Onset Duration For IV meds
Unknown 2.5 hrs 1 week Compatibility with IV drips and /or solutions:
Administer the 4 mg/mL solution undiluted Rate: Administer
over at least 2 min
Y-Site incompatibility: administer through a dedicated line
or flush line before and after. Do not administer in line
with other solutions. Midazolam, solutions containing zinc
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 Hypersensitivity, may alter the bioavailability and effects of
pH, preventing the final transport of hydrogen ions drugs for which absorption is pHdependent. Reconstitute each
into the gastric lumen vial with 10ml of 0.9% NaCl for a concentration of 4 mg/ml
Diminished accumulation of acid in the gastric (solution is stable for 6 hr at room temp). Patients receiving
pantoprazole IV should be converted to PO dosing as soon as
lumen, with lessened acid reflux, Healing of
possible
duodenal ulcers and esophagitis, Decreased acid
Common side effects
secretion in hypersecretory conditions.
No common side effects
Heartburn

Interactions with other patient drugs, OTC or
herbal medicines (ask patient specifically)
None known
Lab value alterations caused by medicine
May cause abnormal liver function tests, including ↑ AST,
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 meals.
Advise 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 Hypersensitivity, signs of gastric esophagitis. Therapy is continued
blood emesis, or gastric aspirate. bleeding for up to 8 wk