ESOMEPRAZOLE MAGNESIUM

(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.

What Do You Think?