Generic NamePantoprazole

Trade NameProtonix

ClassificationGastric acid pump inhibitors

Dose40 mg

RoutePO

Time/frequencyDaily before a meal

PeakUnknown

Onset2.5 hr

Duration1 week

Normal dosage range40 mg once daily

Why is your patient getting this medicationTo diminish the accumulation of gastric acid in lumen to heal esophagitis

For IV meds, compatibility with IV drips and/or solutionsN/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. Indicated for the treatment of GERD.

Nursing Implications (what to focus on) Contraindications/warnings/interactionsHypersensitivity

Common side effectsheadache, abdominal pain, diarrhea, flatulence, hyperglycemia,

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically)none

Lab value alterations caused by medicineMay cause abnormal liver function tests, including increased AST, ALT, alkaline phosphatase, and bilirubin

Be sure to teach the patient the following about this medicationAvoid 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.

AssessmentWhy 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.

EvaluationCheck after givingSigns of healing of the esophagus and the pt’s level of comfort