Protonix Iv Pantoprazole

NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name pantoprazole

Trade Name Protonix I.V.

Classification Dose Route Time/frequency antiulcer agents, 40 mg IV (administer Q am gastric acid pump over at least 2 min.) inhibitors Duration Normal dosage range 1 wk 40 mg once to twice daily, up to 240 mg daily.

Peak Unknown

Onset 2.5 hrs

Why is your patient getting this medication Prevention of heartburn, ulcer

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

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.

For IV meds, compatibility with IV drips and/or solutions Reconstitute each vial with 10 mL of 0.9% NaCl for a concentration of 4 mg/mL. Administer the 4 mg/mL solution undiluted. Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity. Do not administer in line with other solutions, midazolam, or solutions containing zinc. Common side effects No common or life threatening 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, 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.

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

Evaluation Check after giving No symptoms of heartburn or ulcer.