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NURS 1566 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Trade Name Classification Dose Route Time/frequency

Name Protonix Antiulcer agents 40 mg IVP Daily
Peak Onset Duration Normal dosage range
Unknown 2.5 hr 1 week 40 mg once daily

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Treatment of pathologic gastric hypersecretory 0.9% NaCl, D5W, LR.
condition. Rate of Administration
For direct IV dilute each vial with 10 mL of 0.9% NaCl for a
concentration of 4mg/mL administer over at least 2 min. For
intermittent Infusion dilute further with 100 mL of D5W,
0.9% NaCl or LR for a concentration of 0.4 mg/mL
administer over 15 min at a rate of 3mg/min
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Binds to an enzyme in the presence of acidic gastric pH, Hypersensitivity
preventing the final transport of hydrogen ions into the gastric
lumen. Common side effects
headache, abdominal pain, diarrhea, flatulence,

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) May cause abnormal liver function tests, including increased AST, ALT,
May alter the bioavailability and effects of drugs for which alkaline phosphatase, and bilirubin
absorption is pH dependent

Be sure to teach the patient the following about this

Instruct patient to take medication as directed for the full course of
therapy, even if feeling better. Advise patient to 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 Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess for erosive esophogitis, level of pain, and med? Signs of healing of the esophagus and
black tarry stools, diarrhea, or abdominal pain. I wouldn’t unless the pt was NPO, it is the pt’s level of comfort
important to continue therapy even after
symptoms have disappeared. I would however
consult the physician if the pt was
experiencing intolerable side effects.