Generic Trade Name Classification Dose Route Time/frequency

Name Protonix Gastric acid pump 40 mg PO Daily before a meal

Pantoprazole inhibitors
Peak Onset Duration Normal dosage range
Unknown 2.5 hr 1 week 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 N/A
to heal esophagitis

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered) Contraindications/warnings/interactions
Binds to an enzyme in the presence of acidic gastric pH, Hypersensitivity
preventing the final transport of hydrogen ions into the gastric
lumen. Indicated for the treatment of GERD. Common side effects
headache, abdominal pain, diarrhea, flatulence,
hyperglycemia,

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) May cause abnormal liver function tests, including increased AST, ALT,
none 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 Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess for erosive esophogitis, level of pain, and med? Signs of healing of the esophagus and
black tarry stools, diarrhea, or abdominal pain. I would consult the physician if the pt was the pt’s level of comfort
experiencing intolerable side effects such as
abdominal pain, diarrhea, or tarry stools.