Thursday, September 9, 2010

ESOMEPRAZOLE MAGNESIUM

September 26, 2007 by Admin · Leave a Comment  · Email This Post Email This Post · Print This Post Print This Post

(e-so-me’pra-zole)
Nexium
Classifications:
gastrointestinal agent; proton pump inhibitor
Prototype: Omeprazole
Pregnancy Category: B

NURSING IMPLICATIONS

Assessment & Drug Effects

  • Monitor for S&S of adverse CNS effects (vertigo, agitation, depression) especially in severely ill patients.
  • Monitor phenytoin levels with concurrent use.
  • Monitor INR/PT with concurrent warfarin use.
  • Lab tests: Periodic liver function tests, CBC, Hct & Hbg, urinalysis for hematuria and proteinuria.

Patient & Family Education

  • Report any changes in urinary elimination such as pain or discomfort associated with urination to physician.
  • Report severe diarrhea. Drug may need to be discontinued.
  • Do not breast feed while taking this drug without consulting physician.
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