NURS 2516 Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name

Trade Name Ranitidine Zantac Peak Onset 1-3 hr unknown Classification

histamine

Dose Route Time/frequency 150 mg PO Q D PRN Duration For IV meds, compatibility with IV drips and /or solutions 8-12 hr Nursing Implications (what to focus on) Contraindications/warnings/interactions
Geriatric patients (more susceptible to adverse CNS reactions; dosage reduction recommended)

Mechanism of action and indications (Why med ordered)

Treatment and prevention of heartburn, acid indigestion, and sour stomach (OTC use)

Common side effects

confusion, dizziness, drowsiness, hallucinations, headache,

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically)

Lab value alterations caused by medicine

Antagonize effects of pentagastrin and histamine during gastric acid secretion testing. Avoid administration for 24 hr before the test, May cause an in serum transaminases and serum creatinine, false-positive results for urine protein; test with sulfosalicylic acid

Be sure to teach the patient the following about this medication

Inform patient that smoking interferes with the action of histamine antagonists. Encourage patient to quit smoking or at least not to smoke after last dose of the day

Nursing Process- Assessment (Pre-administration assessment)

Ger: Assess geriatric and debilitated patients routinely for confusion. Report promptly

Assessment Why would you hold or not give this med?

Evaluation Check after giving

Decrease in abdominal pain Treatment of heartburn, acid indigestion, and sour stomach (OTC use)