NURS 1556 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        Q HS
                                 gastric acid pump
                                 inhibitors
Peak                Onset                    Duration      For IV meds, compatibility with IV drips and /or
Unknown             2.5 hrs                  1 week        solutions
Mechanism of action and indications (Why med ordered)       Nursing Implications (what to focus on)
Binds to an enzyme in the presence of acidic gastric pH,    Contraindications/warnings/interactions -
preventing the final transport of hydrogen ions into the    Hypersensitivity, do not break chew or crush tablets
gastric lumen. Diminished accumulation of acid in the
gastric lumen, with lessened acid reflux, Healing of        Common side effects – headache, abdominal pain,
duodenal ulcers and esophagitis, Decreased acid             diarrhea, hyperglycemia
secretion in hypersecretory conditions. For GERD.
Interactions with other patient drugs, OTC or herbal         Lab value alterations caused by medicine - May cause
medicines (ask patient specifically) – Coumadin may          abnormal liver function tests, including increase in AST,
increase risk of bleeding.                                   ALT, alkaline phosphatase, and bilirubin
                                                             Be sure to teach the patient the following about this
                                                             medication - Take for the full course of therapy, even if
                                                             feeling better, take before meals. 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 (Pre-                Assessment                                  Evaluation Check after
administration assessment) - Assess patient      Why would you hold or not give this giving - Healing in patients
routinely for epigastric or abdominal pain and   med? - Hypersensitivity, signs of           with erosive esophagitis.
for frank or occult blood in stool, emesis, or   gastric bleeding                            Therapy is continued for up
gastric aspirate                                                                             to 8 wk