Free Gastrointestinal Medication List Template
Gastrointestinal Medication List
Prepared by: [Your Name]
Introduction
This Gastrointestinal Medication List is prepared for the inpatient management of Gastroesophageal Reflux Disease (GERD) for John Doe, admitted on June 1, 2050, under the care of Dr. Jane Smith. It provides detailed information on medications prescribed to manage GERD symptoms effectively during hospitalization.
|
Patient Information |
Details |
|---|---|
|
Patient Name |
John Doe |
|
Date of Birth |
January 1, 1980 |
|
Medical Record Number |
1234567890 |
|
Admission Date |
June 1, 2050 |
|
Attending Physician |
Dr. Jane Smith |
Medication List
|
Medication |
Indications |
Dosage |
Side Effects |
|---|---|---|---|
|
Omeprazole |
Treatment of GERD |
20 mg once daily |
Headache, nausea, diarrhea |
-
Precautions: Take before breakfast. Avoid concurrent use with clopidogrel.
-
Administration Instructions: Take orally with water. Monitor symptoms.
-
Monitoring Requirements: Monitor renal and hepatic function tests periodically.
|
Medication |
Indications |
Dosage |
Side Effects |
|---|---|---|---|
|
Famotidine |
Symptomatic relief of heartburn |
40 mg twice daily |
Dizziness, constipation, rash |
-
Precautions: Take with meals or at bedtime. Use with caution in kidney patients.
-
Administration Instructions: Take orally as prescribed.
-
Monitoring Requirements: Monitor electrolyte levels regularly.
|
Medication |
Indications |
Dosage |
Side Effects |
|---|---|---|---|
|
Metoclopramide |
Enhances gastric emptying |
10 mg four times daily |
Fatigue, drowsiness, extrapyramidal symptoms |
-
Precautions: Avoid use in patients with history of seizures or Parkinson's disease.
-
Administration Instructions: Take 30 mins before meals/bed; watch for side effects.
-
Monitoring Requirements: Monitor for signs of tardive dyskinesia.
|
Medication |
Indications |
Dosage |
Side Effects |
|---|---|---|---|
|
Sucralfate |
Mucosal protective agent |
1 g four times daily |
Constipation, dry mouth, nausea |
-
Precautions: Administer on an empty stomach, 1 hour before meals and at bedtime.
-
Administration Instructions: Give orally; ensure patient follows instructions.
-
Monitoring Requirements: Monitor for therapeutic response and adverse effects.
