NURS 1566 Clinical Form 3: 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 daily
gastric acid pump
inhibitors
Peak Onset Duration Normal dosage range
Unknown 2.5 hrs 1 wk 40 mg once to twice daily, up to 120 mg twice daily.

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or
Heartburn solutions
N/A

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

(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.
Interactions with other patient drugs, OTC or
herbal medicines (ask patient specifically)
None known for this patient.
Contraindications/warnings/interactions
Hypersensitivity, do not break chew or crush tablets.
Common side effects
No common or life threatening side effects
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, 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 this Check after giving
Assess patient routinely for epigastric or med? Healing in patients with
abdominal pain and for frank or occult Hypersensitivity, signs of gastric erosive esophagitis. Therapy
blood in stool, emesis, or gastric aspirate. bleeding. is continued for up to 8 wks.