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Score: _________ Grade: _____________

DRUG SUMMARY

Name of Drug Date Classificatio Dose Mechanism Specific Side Effects Nursing Implications
Generic Ordered n Frequency of Action Indication
(Brand) Route

Ranitidine Antiulcer 50 mg Inhibits the Short-term CNS: confusion, BEFORE:


agents q8hr action of treatment of dizziness, drowsiness, >Assess patient for epigastric or
(Zantac) hallucinations,
IVTT histamine at active abdominal pain and frank or
headache. occult blood in the stool, emesis,
the H2- duodenal CV: ARRHYTHMIAS. or gastric aspirate.
receptor site ulcers and GI: altered taste, black >Assess geriatric and debilitated
located benign tongue (ranitidine patients routinely for confusion.
primarily in gastric bismuth citrate only), Report promptly.
constipation, dark
gastric parietal ulcers stools (ranitidine
cells, resulting bismuth citrate only), DURING:
in inhibition of diarrhea, drug-induced >Administer over at least 5 min.
gastric acid hepatitis (nizatidine, Rapid administration may cause
secretion cimetidine), nausea. hypotension and arrhythmias.
GU: decreased sperm
count, impotence. AFTER:
In addition, Endo: gynecomastia. >Ranitidine may cause false-
ranitidine Hemat: positive results for urine protein;
bismuth citrate AGRANULOCYTOSIS, test with sulfosalicylic acid.
has some APLASTIC ANEMIA, >Administer with meals or
anemia, neutropenia, immediately afterward and at
antibacterial thrombocytopenia. bedtime to prolong effect.
action against Local: pain at IM site.
H. pylori. Misc: hypersensivity
reactions.

Reference: DAVIS DRUG GUIDE FOR NURSES 8th EDITION___

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