Protonix

Elisabeth Fandrich March 4, 2008 NURS 2516 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 24hrs gastric acid Dose Range: Rate of Administration (IV): pump inhibitors N/A Duration For IV meds 1 week Compatibility with IV drips and /or solutions: N/A

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. Heartburn Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) None known

Nursing Process- Assessment (Pre-administration 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 No common side effects

Lab value alterations caused by medicine May cause abnormal liver function tests, including ↑ AST, ALT, alkaline phosphatase, and bilirubin Be sure to teach the patient the following about this medication Instruct patient to take medication as directed for the full course of therapy, even if feeling better, take before mealsAdvise 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

Assessment Why would you hold or not give this med? Hypersensitivity, signs of gastric bleeding

Evaluation Check after giving Healing in patients with erosive esophagitis. Therapy is continued for up to 8 wk