Drug Card Template
Patient teaching/patient education: Notify the provider for any indication of obvious or
occult GI bleeding (coffee-ground emesis)
-Avoid alcohol and foods that increase GI irritation, and limit use of aspirin or NSAIDs.
-Increase fiber and fluid intake to prevent or manage constipation.
Reference: healthline.com
Drug Classification: H2 Receptor Antagonists
Action: Blocks histamine at the H2 receptors of acid-producing parietal cells. Reduces production of hydrogen
ions, resulting in decreased production of HCl. Overall, they suppress acid secretion in the stomach.
Indications for use: May be used in cases of GERD, PUD, erosive esophagitis, for adjunct therapy in control of
upper GI bleeding, and for pathological gastric hypersecretory conditions.
Side Effects
constipation
diarrhea
difficulty sleeping
dry mouth
dry skin
headaches
Pre -Assessment/Nursing interventions
Perform a physical examination to establish baseline
data before beginning
therapy, determine effectiveness of the therapy, and
evaluate for any adverse
effects associated with drug therapy.
Inspect the skin for evidence of lesions or rash to
monitor for adverse reactions.
Evaluate neurological status, including orientation and
affect, to assess CNS
effects of the drug and to plan for protective measures.
Adverse Effects/Toxic Effects
blistered, burning, or scaling skin,
changes in vision
confusion
agitation
difficulty breathing
wheezing
chest tightness
irregular heartbeat
Post Administration /Nursing intervention
Monitor patient response to the drug (relief of GI
symptoms, ulcer healing,
prevention of progression of ulcer).
Monitor for adverse effects (dizziness, confusion,
hallucinations, GI alterations,
cardiac arrhythmias, hypotension, gynecomastia).
Evaluate the effectiveness of the teaching plan
(patient can name drug, dosage,
adverse effects to watch for, and specific measures
to avoid them)
Contraindications / Drug to Drug interactions/Food
Interactions
Drug Interactions: Anti-coagulants, Phenytoin, Beta-
adrenergic blockers, Alcohol, Quinidine, Lidocaine,
Theophylline, Chloroquine, Benzodiazepines, Nifedipine,
Pentoxifylline, TCAs, Procainamide, Carbamazepine.
Contraindications: Pregnancy or lactation
Hepatic or Renal dysfunction
Prolonged or continual use
Allergy
