Name of Patient: Attending Physician: _____________________________ Age:
Ward/Bed Number: Impression / Diagnosis: ___________________________
Dosage, Route,
Name of Drug Frequency and Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Converted to active metabolites Short-term treatment (4–8 Pancreatitis, hepatotoxicity, Pregnancy/Lactation: Unknown if INTERVENTION/EVALUATION
Generic: Dosage: Evaluate for therapeutic response (relief
that irreversibly wks) of erosive interstitial nephritis drug crosses placenta or is
Omeprazole 40 mg/cap bind to, inhibit hydrogen- esophagitis (diagnosed by occur rarely distributed in of GI symptoms). Question if GI discomfort,
potassium endoscopy), breast milk. Pregnancy Category nausea, diarrhea occurs. PATIENT/FAMILY
adenosine triphosphatase, an symptomatic C. Children: TEACHING
Route: enzyme gastroesophageal reflux Safety and efficacy not • Report headache, onset of black, tarry
on the surface of gastric parietal disease (GERD) poorly established. stools, diarrhea, abdominal pain. • Avoid
Brand: PO cells. Inhibits responsive to Elderly: No age-related alcohol. • Swallow capsules whole; do
Prilosec, hydrogen ion transport into gastric other treatment. H. pylori– precautions not chew/crush. • Take before eating.
lumen. Therapeutic Effect: associated duodenal noted.
Increases ulcer (with amoxicillin and
gastric pH, reduces gastric acid clarithromycin).
production. Long-term treatment of
pathologic hypersecretory con
Frequency: ditions;
treatment of active duo denal
1 cap at hours of ulcer or active
sleep benign gastric ulcer.
Maintenance
healing of erosive
Timing: esophagitis. OTC,
short-term: Treatment of
frequent, uncomplicated
heartburn occurring 2 or
more days/wk.
Classification Contraindications Side Effects
Student’s Name: __________________________________________
Clinical Instructor: _________________________________________
Functional: Contraindications: None known. Headache. Diarrhea, abdominal
Cautions: pain, nausea.
Proton pump inhibitor May increase risk of RareDizziness, asthenia (loss
fractures, gastrointestinal of strength, energy), vomiting,
infections. Hepatic constipation,
Chemical: impairment, upper respiratory tract infection,
Benzimidazole. pts of Asian descent. back pain, rash, cough.
REFERENCE:
Hodgson, B. B., & Kizior, R. J. (2014). Saunders nursing drug handbook 2014. St. Louis, MO: Elsevier.
Student’s Name: __________________________________________
Clinical Instructor: _________________________________________