Pantoprazole (protonix)

INDEX Generic Name pantoprazole

Peak

Trade Name Protonix

Onset

NURS 2236 Clinical Form 3: Clinical Medications Worksheet (You will need to made additional copies of these forms) Classification Dose Route Time/Frequency antiulcer agent

Duration

40mg

PO

qday

Normal Dosage Range 40mg qday

unknown 2.5hr Why is your patient taking this medication? Acid reflux

1 week For IV meds, compatability with IV drips and/or solutions

Mechanism of action and indications erosive espohagitis associated with GERD. Decrease relapse rates of daytime and nighttime heartburn symptoms on patients with GERD. Suppresses gastric secretion by inhibiting hydrogen/ potassium ATPase enzyme system in gastric parietal cell; characterized as gastric acid pump inhibitor, since it blocks final step of acid production.

Interactions with other patient drugs, OTC, or herbal medicines (ask patient specifically) none significant

Nursing Process - Assessment (Pre-administration assessment) assess for epigastric or abdominal pain and for frank or occult blood in stool, emesis, or gastric aspirate

Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity;

Common side effects headache; abdominal pain; diarrhea; eructation; flatulence; hyperglycemia.

Lab value alterations caused by medicine May cause abnormal liver function tests, including increased AST, ALT, alkaline phosphate, and bilirubin Increased bleeding Be sure to teach the patient the following about this medication avoid alcohol, products containing aspirin or NSAIDs, and foods that may cause increase in GI irritation. Report onset of black, tarry stools; diarrhea; or abdominal pain to health care professional promptly

Assessment Why would you hold or not give this med? Allergic reaction; abdominal pain

Evaluation Check after giving healing in patients with erosice esophagitis. Therapy is continued for up to 8 weeks