NURS 2516 Clinical Medications Worksheets

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

Generic Name Trade Name Classification Dose Route Time/frequency

lansoprazole Prevacid antiulcer agents 30mg po 0900 daily
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
unknown rapid More than N/A
24 hr
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
preventing the final transport of hydrogen ions into the
gastric lumen. Common side effects
constipation Dizziness, headache, diarrhea

Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically)
none
Lab value alterations caused by medicine
May cause abnormal liver function tests, including increased
AST, ALT, alkaline phosphatase, LDH, and bilirubin
○ May cause ↑ serum creatinine and ↑ or ↓ electrolyte
levels
○ May alter RBC, WBC, and platelet levels
○ May also cause ↑ gastrin levels, abnormal A/G ratio,
hyperlipidemia, and ↑ or ↓ cholesterol
○ Monitor INR and prothrombin time in patients taking
warfarin

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
• Advise patient to avoid alcohol, products containing
aspirin or NSAIDs, and foods that may cause an
increase in GI irritation
• May occasionally cause dizziness. Caution patient to
avoid driving and other activities that require alertness
until response to medication is known
• 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 this Check after giving
Assess patient routinely for epigastric or med? Production of a bowel
abdominal pain and for frank or occult blood Occurrence of problematic side effects movement
in stool, emesis, or gastric aspirate