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
famotidine Pepcid antiulcer agent 40 mg PO Daily

Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
0.5-3 hr within 60 min 6-12 hour
Why is your patient taking this medication?

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

Short-term treatment of active ulcers and bnign gastric
ulcers
Treatment and prevention of heartburn, acid indigestion
and sour stomach
management of gastric hypersecretory states.
Prevention and treatment of stress-induced upper GI
bleeding in critically ill patients
Contraindications/warnings/interactions Some products contain alcohol and
and should be avoided in patients with known intolerance.
Use cautiously in patients with renal impairment. Geriatric patients more
susceptible to adverse CNS reactions; dosage reduction recommended
Common side effects
confusion, dizziness, drowsiness; hallucinations; headache; arrhythmias, altered
taste; constipation; dark stools; diarrhea; nausea; anemia; pain at IM site

Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) Monitor CBC
benzodiazepines; chlordiazepoxide; diazepam; midazolam;
beta blockers (labetalol; metoprolol; propranolol) caffeine;
calcium channel blockers; carbamazepine; chloroquine; Be sure to teach the patient the following about this medication
lidocaine; metronidazole; moricizine; pentoxifylline; call doctor if difficulty swallowing occurs or abdominal pain persists or if vomiting
phenytoin; propafenone; quinidine; quinine; metformin; blood or bloody or tarry stools occur. May cause drowsiness or dizziness. Avoid
sulfonylureas; tacrine; theophylline; valporic acid; alcohol; products containing aspirin or NSAIDs and foods that may cause an
warfarin; succinylcholine; flecainide; procainamide; increase in GI irritation. Increase fluid and fiber intake and exercie. Report fever
carmustine; fluorouracil sore throat; diarrhea;
Nursing Process - Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give Check after giving
Vital signs this med?
assess for epigastric or abdominal pain decrease in abdominal pain
occult blood in the stool, emesis, or gastric healing of ulcers
aspirate decreased symptoms of espopheal reflux
Assess geriatric and debilitated patients for
confusion.