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Drug 3

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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

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