NR-293 Week 6 Discussion: Implications of Drug Interactions
Please choose a Gastrointestinal Medication and discuss its implications and potential
interactions. What would you teach a patient about your chosen drug?
Place the name of your chosen medication in the header of your response. You may not choose a
medication that another student has already written about in the threads.
Hello class and professor,
Proton Pump Inhibitor - Pantoprazole (Protonix)
There are several types of acid-controlling drugs. For example, antacids, H2 receptor antagonists
(blockers), proton pump inhibitors, and miscellaneous acid-controlling (Lilley, Collins, &
Synder, 2020). The medication I chose is Pantoprazole, a proton pump inhibitor (PPI). It works
by decreasing the amount of acid produced by the stomach. Pantoprazole is used to treat certain
conditions when there is too much acid in the stomach. For example, erosive esophagitis or
heartburn caused by gastroesophageal reflux disease (GERD) (Mayo Clinic, 2020).
Implications for this medication include diarrhea, dizziness, gas, headache, joint pain, nausea,
and vomiting. There are many drug interactions with Pantoprazole such as albuterol, aspirin,
Cipro, Lasix, Nexium, Vitamin B12, Vitamin D3, Xanax, etc. An example of potential interaction
is vecuronium because Pantoprazole has a direct neuromuscular blocking action (Patel, Patel, &
Tripathi, 2010).
When it comes to educating patients, nurses must inform them to take this medication only
directed by the doctor. Pantoprazole comes with a medication guide. The patient should read and
follow the instructions carefully. If they have any questions, they should call the physician.
Swallow the delayed-release tablet whole. Do not split, crush, or chew it. The patient may take
the tablet with or without food (Mayo Clinic, 2020). If the patient misses a dose of this
medication, they must take it as soon as possible. However, if it is almost time for the next dose,
they should skip the missed dose and go back to the regular dosing schedule. Never double dose.
Inform patients to never use pantoprazole together with medicines containing rilpivirine. If the
patient is experiencing fever, joint pain, skin rash, swelling of ankles, body, or feet, or unusual
weight gain after receiving this medication, they should call the physician right away because
these symptoms might indicate acute interstitial nephritis.
References:
Lilley, L. L., Collins, S. R., & Snyder, J. S., (2020). Pharmacology and the nursing process (9th
ed.). St. Louis, MO: Elsevier.
Mayo Clinic. (2020). Pantoprazole (Oral Route). Mayo Clinic. Retrieved from:
https://www.mayoclinic.org/drg-20071434?p=1
Patel, T., Patel, P., & Tripathi, C.B. (2010). Effect of pantoprazole and its interactions with
vecuronium on the neuromuscular junction. Indian J Pharmacol. 42(1). doi: 10.4103/0253-
7613.62410
This study source was downloaded by 100000801755870 from CourseHero.com on 03 -18-2022 15:39:22 GMT -05:00
Please choose a Gastrointestinal Medication and discuss its implications and potential
interactions. What would you teach a patient about your chosen drug?
Place the name of your chosen medication in the header of your response. You may not choose a
medication that another student has already written about in the threads.
Hello class and professor,
Proton Pump Inhibitor - Pantoprazole (Protonix)
There are several types of acid-controlling drugs. For example, antacids, H2 receptor antagonists
(blockers), proton pump inhibitors, and miscellaneous acid-controlling (Lilley, Collins, &
Synder, 2020). The medication I chose is Pantoprazole, a proton pump inhibitor (PPI). It works
by decreasing the amount of acid produced by the stomach. Pantoprazole is used to treat certain
conditions when there is too much acid in the stomach. For example, erosive esophagitis or
heartburn caused by gastroesophageal reflux disease (GERD) (Mayo Clinic, 2020).
Implications for this medication include diarrhea, dizziness, gas, headache, joint pain, nausea,
and vomiting. There are many drug interactions with Pantoprazole such as albuterol, aspirin,
Cipro, Lasix, Nexium, Vitamin B12, Vitamin D3, Xanax, etc. An example of potential interaction
is vecuronium because Pantoprazole has a direct neuromuscular blocking action (Patel, Patel, &
Tripathi, 2010).
When it comes to educating patients, nurses must inform them to take this medication only
directed by the doctor. Pantoprazole comes with a medication guide. The patient should read and
follow the instructions carefully. If they have any questions, they should call the physician.
Swallow the delayed-release tablet whole. Do not split, crush, or chew it. The patient may take
the tablet with or without food (Mayo Clinic, 2020). If the patient misses a dose of this
medication, they must take it as soon as possible. However, if it is almost time for the next dose,
they should skip the missed dose and go back to the regular dosing schedule. Never double dose.
Inform patients to never use pantoprazole together with medicines containing rilpivirine. If the
patient is experiencing fever, joint pain, skin rash, swelling of ankles, body, or feet, or unusual
weight gain after receiving this medication, they should call the physician right away because
these symptoms might indicate acute interstitial nephritis.
References:
Lilley, L. L., Collins, S. R., & Snyder, J. S., (2020). Pharmacology and the nursing process (9th
ed.). St. Louis, MO: Elsevier.
Mayo Clinic. (2020). Pantoprazole (Oral Route). Mayo Clinic. Retrieved from:
https://www.mayoclinic.org/drg-20071434?p=1
Patel, T., Patel, P., & Tripathi, C.B. (2010). Effect of pantoprazole and its interactions with
vecuronium on the neuromuscular junction. Indian J Pharmacol. 42(1). doi: 10.4103/0253-
7613.62410
This study source was downloaded by 100000801755870 from CourseHero.com on 03 -18-2022 15:39:22 GMT -05:00
