Protonix

NURS 1556 Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Trade Name pantoprazole Protonix Peak Unknown

Onset 2.5 hrs

Classification Dose Route Time/frequency antiulcer agents, 40 mg PO Q HS gastric acid pump inhibitors Duration For IV meds, compatibility with IV drips and /or 1 week solutions

Mechanism of action and indications (Why med ordered) Binds to an enzyme in the presence of acidic gastric pH, preventing the final transport of hydrogen ions into the gastric lumen. Diminished accumulation of acid in the gastric lumen, with lessened acid reflux, Healing of duodenal ulcers and esophagitis, Decreased acid secretion in hypersecretory conditions. For GERD. Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) – Coumadin may increase risk of bleeding.

Nursing Process- Assessment (Preadministration assessment) - Assess patient routinely 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, do not break chew or crush tablets Common side effects – headache, abdominal pain, diarrhea, hyperglycemia

Lab value alterations caused by medicine - May cause abnormal liver function tests, including increase in AST, 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 Assessment Evaluation Check after Why would you hold or not give this giving - Healing in patients med? - Hypersensitivity, signs of with erosive esophagitis. gastric bleeding Therapy is continued for up to 8 wk