INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

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

Generic Trade Classification Dose Route Time/Frequency
Name Name
pantoprazole Protonix antiulcer agent 40mg PO qday

Peak Onset Duration Normal Dosage Range

40mg qday
unknown 2.5hr 1 week
Why is your patient taking this medication? For IV meds, compatability with IV drips and/or solutions
Acid reflux

Mechanism of action and indications Nursing Implications (what to focus on)

erosive espohagitis associated with GERD. Contraindications/warnings/interactions
Decrease relapse rates of daytime and nighttime heartburn Hypersensitivity;
symptoms on patients with GERD.

Suppresses gastric secretion by inhibiting hydrogen/

potassium ATPase enzyme system in gastric parietal cell; Common side effects
characterized as gastric acid pump inhibitor, since it headache; abdominal pain; diarrhea; eructation; flatulence; hyperglycemia.
blocks final step of acid production.

Interactions with other patient drugs, OTC, or herbal
medicines (ask patient specifically)
none significant
Lab value alterations caused by medicine
May cause abnormal liver function tests, including increased AST, ALT,
alkaline phosphate, and bilirubin
Increased bleeding
Be sure to teach the patient the following about this medication
avoid alcohol, products containing aspirin or NSAIDs, and foods that may cause
increase in GI irritation. Report onset of black, tarry stools; diarrhea; or
abdominal pain to health care professional promptly

Nursing Process - Assessment Assessment Evaluation

(Pre-administration assessment)
assess for epigastric or abdominal pain and for
frank or occult blood in stool, emesis, or gastric
aspirate
Why would you hold or not give Check after giving
this med?
healing in patients with erosice esophagitis.
Allergic reaction; abdominal pain Therapy is continued for up to 8 weeks