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Nexium

Esomeprazole is a proton pump inhibitor used to reduce gastric acid secretion and decrease acidity in the stomach. Common side effects include headache, abdominal pain, diarrhea, and nausea. Nurses should monitor patients for signs of hypersensitivity reactions or worsening GI symptoms and liver function, especially in patients with preexisting hepatic disease. Patients are instructed to take the medication exactly as prescribed and at least 1 hour before meals.

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Allison Shaw
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417 views2 pages

Nexium

Esomeprazole is a proton pump inhibitor used to reduce gastric acid secretion and decrease acidity in the stomach. Common side effects include headache, abdominal pain, diarrhea, and nausea. Nurses should monitor patients for signs of hypersensitivity reactions or worsening GI symptoms and liver function, especially in patients with preexisting hepatic disease. Patients are instructed to take the medication exactly as prescribed and at least 1 hour before meals.

Uploaded by

Allison Shaw
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Drug (generic Usual Drug Action:

& trade name) Dosage/Route


Reduces gastric acid secretion and decreases gastric acidity.
Generic: P.O & IV
Esomeprazole Capsules
Magnesium (delayed-
release): 20, 40
Trade: mg
Nexium Powder for
Nexium IV suspension
(delayed-
release): 10, 20,
40 mg
Powder for
injection: 20, 40
mg single-use
vials
Class:
proton pump inhibitor
gastric acid suppressant

Side Effects:
CNS: headache, dizziness
GI: abdominal pain, constipation, diarrhea, dry mouth, flatulence, nausea, vomiting
Respiratory: sinusitis, respiratory infection
Skin: pruritus

Nursing Considerations:
• Antacids can be used while taking drug, unless otherwise directed by prescriber.
• Monitor patient for rash or signs and symptoms of hypersensitivity.
• Monitor GI symptoms for improvement or worsening.
• Monitor liver function tests, especially in patients with preexisting hepatic disease.
• Amoxicillin may trigger anaphylaxis in patients with a history of penicillin hypersensitivity.
• Long-term therapy may cause atrophic gastritis.
Patient Teaching:
• Instruct patient to take drug exactly as prescribed.
• Tell patient to take drug at least 1 hour before a meal.
• Advise patient that antacids can be used while taking drug unless otherwise directed by prescriber.
• Warn patient not to chew or crush drug pellets because this inactivates the drug.
• If patient has difficulty swallowing capsule, tell him to mix contents of capsule with 1 tablespoon of soft
applesauce and swallow immediately.
• Advise patient to store capsules at room temperature in a tight container.
• Tell patient to inform prescriber of worsening signs and symptoms or pain.
• Instruct patient to alert prescriber if rash or other signs and symptoms of allergy occur.
Date of Reason Drug Prescribed for this patient:
Care (document each time drug card used for a patient – save document throughout nursing program)

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