Metoclopramide is used to treat symptoms of diabetic gastroparesis and gastroesophageal reflux disease. It works by stimulating upper gastrointestinal motility without stimulating secretion. Potential side effects include extrapyramidal reactions, depression, and diarrhea. Nursing responsibilities in administering metoclopramide include observing for allergies or contraindications, monitoring for side effects like changes in blood pressure or extrapyramidal reactions, educating the patient, and properly documenting care.
Metoclopramide is used to treat symptoms of diabetic gastroparesis and gastroesophageal reflux disease. It works by stimulating upper gastrointestinal motility without stimulating secretion. Potential side effects include extrapyramidal reactions, depression, and diarrhea. Nursing responsibilities in administering metoclopramide include observing for allergies or contraindications, monitoring for side effects like changes in blood pressure or extrapyramidal reactions, educating the patient, and properly documenting care.
Metoclopramide is used to treat symptoms of diabetic gastroparesis and gastroesophageal reflux disease. It works by stimulating upper gastrointestinal motility without stimulating secretion. Potential side effects include extrapyramidal reactions, depression, and diarrhea. Nursing responsibilities in administering metoclopramide include observing for allergies or contraindications, monitoring for side effects like changes in blood pressure or extrapyramidal reactions, educating the patient, and properly documenting care.
Metoclopramide is used to treat symptoms of diabetic gastroparesis and gastroesophageal reflux disease. It works by stimulating upper gastrointestinal motility without stimulating secretion. Potential side effects include extrapyramidal reactions, depression, and diarrhea. Nursing responsibilities in administering metoclopramide include observing for allergies or contraindications, monitoring for side effects like changes in blood pressure or extrapyramidal reactions, educating the patient, and properly documenting care.
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Name: Nicholas M.
Tagle NCM-RLE
Year & Section: BSN IV-A
Drug Study: Metoclopramide
Generic Name Indication Mechanism of Action Classification Side Nursing Responsibilities
Effects/Adverse Drug Reactions Generic Name Metoclopramide -relief of symptoms Stimulates motility of Dopaminergic - Allergy to Before of acute and Upper GI tract blocker metoclopramide - Observe 15 rights in drug Trade Name recurrent diabetic without stimulating -GI hemorrhage administration. Reglan, gastroparesis gastric, billiary, or -Mechanical - Assess for allergy to metoclopramide. Maxolon pancreatic secretions; obstruction or - Assess for other contraindications. Dosages -Short-term appears to sensitize perforation - Keep diphenhydramine injection therapy for adults tissues to action of - readily available in case extrapyramidal 10-15 mg PO with symptomatic acetylcholine; relaxes Pheochromocytoma reactions occur (50 mg IM). up to 4 GERD who fail to pyloric sphincter, -Epilepsy Precaution - Have phentolamine readily available in times/day 30 respond to which, when -Previously detected case of hypertensive crisis. minutes before conventional combined with effects breast cancer During each meal and therapy on motility, -Lactation - Monitor BP carefully during IV at bedtime for accelerates gastric -Pregnancy administration. 2-8 weeks -Prevention of emptying and -Fluid overload - Monitor for extrapyramidal reactions, Routes of nausea and intestinal transit; little -Renal impairment and consult physician if they occur. Administration vomiting effect on gallbladder - Monitor diabetic patients. associated with or colon motility; CNS: - Give direct IV doses slowly over 1 Oral emetogenic cancer increases lower drowsiness, fatigue, -2 minutes. Intramuscular chemotherapy esophageal sphincter lassitude, insomnia, - For IV infusion, give over at least 15 Intravenous pressure; has sedative extrapyramidal minutes. - Prophylaxis of properties; induces reactions, After postoperative release of prolactin parkinsonism - Dispose of used materials properly. - nausea and reactions, akathisia, Educate patient about side effects. vomiting when dystonia, Nasogastric suction myoclonus, - Instruct to report involuntary is undesirable dizziness, anxiety movement of the face, eyes, or limbs, CV: Transient severe depression, severe diarrhea. -Facilitation of hypertension - Instruct patient to take drug exactly small bowel GI: Nausea, diarrhea as prescribed. intubation when - Instruct not to use alcohol, sleep tube does not pass remedies or sedatives; serious sedation the pylorus with could occur. conventional - Do proper documentation. maneuvers
-Stimulation of gastric emptying and intestinal transit of barium when delayed emptying interferes with radiologic examination of the stomach or small intestine