SIDE EFFECTS NURSING

NAME CLASSIFICATION ACTION INDICATION CONTRAINDICATION CONSIDERATIONS

Assessment
Esomeprazole Proton pump Suppresses the -treatment of GERD Patients with -abdomen 1. Document indications for
Magnesium inhibitor final step in (gastroesophageal known enlarged therapy, type, onset, and
(Nexium) gastric acid reflux disease) hypersensitivity to characteristic of symptoms.
List other agents prescribed.
production by any component of -allergic
2. Determine if pregnant
inhibiting the -healing of erosive the formulation or reaction 3. Record abdominal
H+/K+-ATPase esophagitis to substituted assessments,
in the gastric benzimidazoles. -asthenia radiographic/endoscpic
parietal cells. -maintenance of findings and h.pylori findings
This decreases healing of erosive -back pain 4. Monitor CBC and LFTs; note
gastric acid esophagitis any liver dysfunction
secretion -chest pain
-symptomatic GERD Client/Family Teaching
-substernal 1. Take the delayed release
capsules whole at least 1
-risk reduction of chest pain
hour before meals. If unable
NSAID-associated to swallow whole may empty
gastric ulcer -facial edema capsule onto one tablespoon
of applesauce in a cup. Mix
-treatment and -peripheral pellets into applesauce and
eradication of h.pylori edema swallow immediately taking
infection and care not to chew pellets.
duodenal ulcer -hot flushes 2. May take antacids
recurrence 3. Avoid alcohol and OTC
(a combination of -fatigue  products unless approved.
4. Drug is for short term use
nexium+amoxicillin+
only; it inhibits gastric acid
clarithromycin) -fever secretion. Side effects of
prolonged therapy and
-flu-like suppression of acid secretion
disorder alter bacterial colonization
and lead to hypochlorhydria
-generalized and hypergastrinemia, which
edema may lead to an increased
risk for gastric tumors.
-leg edema Outcomes/Evaluate
1. Promotion of ulcer healing
2. Relief of pain
-malaise
3. Eradication of h.pylori with
designated ATXs.
-pain

-rigors