NURS 2516 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency

lansoprazole Prevacid antiulcer agents 30 mg Po q hs

Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
unknown rapid more than 24
hr

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, Geriatric patients (maintenance dose should not exceed 30
preventing the final transport of hydrogen ions into the gastric mg/day unless additional acid suppression is required)
lumen Common side effects
GERD
dizziness, headache, diarrhea, abdominal pain, nausea, rash,

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, LDH, and bilirubin
May cause ↑ serum creatinine and ↑ or ↓ electrolyte levels
May alter RBC, WBC, and platelet levels
May also cause ↑ gastrin levels, abnormal A/G ratio,
hyperlipidemia, and ↑ or ↓ cholesterol
Be sure to teach the patient the following about this
medication
Advise patient to report onset of black, tarry stools; diarrhea; or
abdominal pain to health care professional promptly

Nursing Process- Assessment Assessment Evaluation

(Pre-administration assessment)
Assess patient routinely for epigastric or
abdominal pain and for frank or occult blood in
stool, emesis, or gastric aspirate
Why would you hold or not give this Check after giving
med? Decrease in abdominal pain or
none prevention of gastric irritation and
bleeding. Healing of duodenal
ulcers can be seen on x-ray
examination or endoscopy.
Therapy is continued for at least
2-4 wk. Therapy for pathologic
hypersecretory conditions may be
long term