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NURS 1556 Clinical Medications Worksheets

Generic Name Trade Name Classification Dose Route Time/frequency


Omeprazole Prilosec Antiulcer 20 mg PO Q12 everyday

Peak Onset Duration For IV meds, compatibility with IV drips and /or
within 2 hours Within 1 72-96 hours solutions
hour N/A
(Why med ordered) Nursing Implications (what to focus on)
GERD Contraindications/warnings/interactions
Contraindicated in hypersensitivity, metabolic alkalosis
Mechanism of action and indications and hypocalcaemia.
Binds to an enzyme on gastric parietal cells in Common side effects
the presence of acidic gastric PH, preventing Abdominal Pain, nausea, vomiting, dizziness,
the final transport of hydrogen ions into the drowsiness, fatigue, headache, weakness, constipation,
gastric lumen. diarrhea, rash, allergic reaction.

Interactions with other patient drugs, OTC Lab value alterations caused by medicine
or herbal medicines (ask patient Monitor CBC of the Pt periodically during therapy. This
specifically) drug may cause an increase in AST, ALT, alkaline
phosphatase, and bilirubin which according to recent
Patient does not take any drug that interacts lab testing the ALT is slightly low, and the alkaline
with this medication. phos: Is slightly higher than normal values.
Be sure to teach the patient the following about this
medication
Tablets should be swallowed whole, do not crush or
chew. May cause occasional drowsiness or dizziness.
Advise patient to report onset of black, tarry stools,
diarrhea, abdominal pain or persistent headache to
health care professional promptly.

Nursing Process- Assessment Assessment Evaluation


(Pre-administration assessment) Why would you hold or not give Check after giving
this med?
Assess for epigastric or Assess patient routinely for
abdomnial pain and occult blood Known hypersensitivity, epigastric or abdominal pain
in stool, emesis, or gastric hypocalcemia, or if taking any and frank or occult blood in the
aspirate. meds that interact with this drug. stool, emesis, or gastric aspirate

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