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) Generic Name
Gastric acid pump inhibitors
Q 24 hours
Onset 2.5 hr
Normal dosage range 40 mg once daily
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions To diminish the accumulation of gastric acid in lumen Do not administer in line with other solutions, particularly to heal esophagitis those containing zinc. 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. Indicated for the treatment of GERD.
Nursing Implications (what to focus on) Contraindications/warnings/interactions
Common side effects
headache, abdominal pain, diarrhea, flatulence, hyperglycemia,
Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically)
Lab value alterations caused by medicine
May cause abnormal liver function tests, including increased AST, ALT, alkaline phosphatase, and bilirubin
Be sure to teach the patient the following about this medication
Avoid alcohol, asparin, NSAIDS, report black tarry stools, diarrhea, or abdominal pain
Nursing Process- Assessment (Pre-administration assessment)
Assess for erosive esophogitis, level of pain, and black tarry stools, diarrhea, or abdominal pain.
Assessment Why would you hold or not give this med?
I would consult the physician if the pt was experiencing intolerable side effects such as abdominal pain, diarrhea, or tarry stools.
Evaluation Check after giving
Signs of healing of the esophagus and the pt’s level of comfort