DRUG ORDER MECHANISM OF INDICATIONS CONRTRAINDICATION ADVERSE EFFECT NURSING
ACTION RESPONSIBILITIES
Generic Name: Gastric acid-pump Short-term treatment Contraindicated with: CNS: dizziness, ♥Assess Vital Signs
●Omeprazole inhibitor: Suppresses of active duodenal ulcer drowsiness, fatigue,
gastric acid secretion hypersensitivity to headache, weakness ♥Check for abdominal
by specific inhibition of Treatment of heartburn omeprazole and its CV: chest pain pain, emesis, diarrhea
Brand name: the hydrogen- or symptoms of GERD components GI: abdominal pain, acid or constipation.
●Prilosec potassium ATPase
enzyme system at the Short-term treatment Use cautiously because
regurgitation,
constipation, diarrhea, ♥Evaluate fluid and
secretory surface of the of active benign gastric of possible increased flatulence, nausea and intake
Classification: gastric parietal cells; ulcer risk of vomiting.
●Antisecretory drug blocks the final step of Clostridium difficile DERM: itching, rash
♥Watch for elevated
●Proton pump acid production. GERD, severe erosive infection. MISC: allergic reactions
liver function test
esophagitis, poorly
inhibitor results
responsive Use cautiously with
symptomatic GERD pregnancy, lactation
Dosage: ♥Tell patient to take
and children <2 yrs.
●40 mg 30-60 minutes before a
Long-term therapy:
meal, preferably in
treatment of
morning.
Route: pathologic hyper
●IV secretory conditions
♥Instruct patient to
swallow capsules or
Frequency: tablets whole and no to
●OD chew or crash them.
♥Caution patient to
avoid driving and other
hazardous activities
until he know drug
effects concentration
and alertness