1) Metoclopramide (Reglan) is an antiemetic medication given intravenously to treat nausea and block dopamine receptors in the chemoreceptor trigger zone.
2) It has a rapid onset of 1-3 minutes, duration of action of 1-2 hours, and is given every 6 hours as needed by intravenous push over 1-2 minutes.
3) Nursing implications for this medication include monitoring for extrapyramidal side effects like dystonia, assessing for contraindications like seizure disorders or depression, and teaching the patient about potential drowsiness and not driving until the effects are known.
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1) Metoclopramide (Reglan) is an antiemetic medication given intravenously to treat nausea and block dopamine receptors in the chemoreceptor trigger zone.
2) It has a rapid onset of 1-3 minutes, duration of action of 1-2 hours, and is given every 6 hours as needed by intravenous push over 1-2 minutes.
3) Nursing implications for this medication include monitoring for extrapyramidal side effects like dystonia, assessing for contraindications like seizure disorders or depression, and teaching the patient about potential drowsiness and not driving until the effects are known.
1) Metoclopramide (Reglan) is an antiemetic medication given intravenously to treat nausea and block dopamine receptors in the chemoreceptor trigger zone.
2) It has a rapid onset of 1-3 minutes, duration of action of 1-2 hours, and is given every 6 hours as needed by intravenous push over 1-2 minutes.
3) Nursing implications for this medication include monitoring for extrapyramidal side effects like dystonia, assessing for contraindications like seizure disorders or depression, and teaching the patient about potential drowsiness and not driving until the effects are known.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
1) Metoclopramide (Reglan) is an antiemetic medication given intravenously to treat nausea and block dopamine receptors in the chemoreceptor trigger zone.
2) It has a rapid onset of 1-3 minutes, duration of action of 1-2 hours, and is given every 6 hours as needed by intravenous push over 1-2 minutes.
3) Nursing implications for this medication include monitoring for extrapyramidal side effects like dystonia, assessing for contraindications like seizure disorders or depression, and teaching the patient about potential drowsiness and not driving until the effects are known.
Copyright:
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NURS 2516 Clinical Medications Worksheets
(You will need to make additional copies of these forms)
Generic Name Trade Name Classification Dose Route Time/frequency
metoclopramide Reglan antiemetics 10 mg IVP Q6H PRN Range: 10 mg over 1-2 min Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions immediate 1-3 min 1-2 hr NA Mechanism of action and indications Nursing Implications (what to focus on) (Why med ordered) Contraindications/warnings/interactions • Treat nausea H y p • e B r l s o e c n k s s it d i o v p it a y m i n e • r Hist e ory c of e seiz p ure t diso o rder r s s i n • c P h heo e chro m moc o yto r ma e c e p Common side effects t drowsiness, extrapyramidal reactions, restlessness, o r tr i g g e r z o n e o f Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine medicines (ask patient specifically) May alter hepatic function test results May affect the GI absorption of other orally administered drugs ○ as a result of effect on GI motility May Additive CNS depression with other CNS depressants , caus including alcohol , antidepressants , antihistamines , opioid e analgesics , and sedative/hypnotics incre ased seru m prola ctin and aldo stero ne conc entr ation s. Be sure to teach the patient the following about this medication Administer doses 30 min before meals and at bedtime May cause drowsiness. Caution patient to avoid driving or other activities requiring alertness until response to medication is known. Advise patient to avoid concurrent use of alcohol and other CNS depressants while taking this medication Nursing Process- Assessment Assessment Evaluation (Pre-administration assessment) Why would you hold or not give this Check after giving Assess patient for nausea, vomiting, abdominal med? distention, and bowel sounds before and after Hypersensitive, hypotensive, administration Assess patient for extrapyramidal side depression effects(difficulty speaking or swallowing, loss of neuroleptic malignant syndrome balance control, pill rolling, mask-like face, shuffling (hyperthermia, muscle rigidity, altered gait, rigidity, tremors; and dystonic--muscle consciousness, irregular pulse or blood spasms, twisting motions, twitching, inability to pnotify health care professional move eyes, weakness of arms or legs) immediately if involuntary movement of eyes, face, or limbs occursressure, tachycardia, and diaphoresis) • P r e v e n ti o n o r r e li e f o f n a u s e a a n d v o m it i n g