Pep Cid

NURS 2516 Clinical Medications Worksheets Generic Name Famotidine Peak 1-4 hr

Trade Name Pepcid, Pepcid AC Onset

Classification Antihistamine

Within 60 min

Dose

Route

Time/frequency

20 mg

PO

BID

Duration

For IV meds, compatibility with IV drips and /or solutions

6-12 hr

N/A

Mechanism of action and indications (Why med ordered) Antihistamines decrease gastric acid in the daytime and nocturnal secretions. Short term treatment of GERD, relief of acid indigestion

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) No drug-drug interactions Smoking increases anticoagulant activity

Nursing Process- Assessment (Pre-administration assessment) Hypersensitivity, GI Symptoms, Bowel sounds

Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity Common side effects CNS: anxiety, dizziness, depression, headache, mental confusion. CV: arrhythmias, palpitations. GI: anorexia, nausea, vomiting, diarrhea, dry mouth, constipation , pancreatitis. GU: Urinary retention, interstitial nephriis. Others: thrombocytopenis, rash, hepatitis, bronchospasm. Lab value alterations caused by medicine Increases salicylate levels, CBC

Be sure to teach the patient the following about this medication Avoid GI irritation foods, avoid using alcohol, take with food, drowsiness and dizziness may occur, push fluids. Assessment Evaluation Why would you hold or not give this Check after giving med? Risk for skin breakdown, CBC CNS effects—confusion, disoriented counts. or dizzy.