DRUG NAME MECHANISM INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING

OF ACTION RESPONSIBILITY
Generic Name: Antagonizes Treatment of nausea and Contraindicated in patients CNS: Drowsiness, History: Any allergy
Metoclopramide the central and vomiting in patients with or with: dizziness, to metoclopramide;
peripheral caused by: tiredness/fatigue, history of GI
Brand Name: dopamine 2  Gastroesophageal  Gastrointestinal sleep problems, hemorrhage; any
Plasil receptors in reflux disease or Bleeding agitation, mechanical
the medullary diabetic gastroparesis  Obstruction depression, obstruction or
Drug Class: chemoreceptor  Undergoing  Perforation headache perforation;
Antiemetic, GI trigger zone in chemotherapy  Pheochromocytoma pheochromocytoma
Stimulant, the area  Hyperemesis  Seizures CV: Transient epilepsy; lactation;
Dopaminergic postrema that Gravidarum  Depression hypertension, previously detected
Blocker are normally  Diamond Blackfan  Parkinson Disease hypotension, breast cancer
stimulated by Syndrome  History of Tardive bradycardia,
Dosage: levodopa or  Advanced liver Dyskinesia tachycardia Physical: Assess for
10mg apomorphine. disease orientation,
It also blocks  Postoperative GI: Diarrhea, reflexes, BP, bowel
Frequency: the prophylaxis when bowel disorders sounds, normal
TID given for 3 antiperistaltic nasogastric suction is output and EEG
days effects of undesirable May also rarely
apomorphine cause a
Route: which slows its potentially fatal
Oral inhibition of condition called
gastric Neuroleptic
emptying. Malignant
Syndrome
 DRUG NAME MECHANISM OF INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING
ACTION RESPONSIBILITY
Generic Name: Dextrose: Provides a Treatment of Dextrose: Solution Serious allergic  Suspend
Dextrose, Thiamine HCl source of calories; nutritional or may be reactions are usually container
(Vit. B1), Pyridoxine HCl promotes glycogen electrolyte loss due contraindicated in rare but seek from eyelet
(Vit. B6), Riboflavin-5- deposition and to dehydration patients allergic to immediate medical support.
phosphate Na (Vit. B2), prevents ketosis; corn/corn products help if any  Clinical
Nicotinamide, D- readily metabolized Dextrose: Indicated noticeable evaluation
panthenol, Ascorbic acid Thiamine: A as a source of water, Parenteral nutritional symptoms arise and periodic
hydrochloride salt electrolytes and products are laboratory
Brand Name: vitamin that is calories contraindicated in Large doses taken testing
Suplenex essential for aerobic Thiamine: Maintains patients with anuria for a long time may should be
metabolism, cell the nerves and heart and in those with also cause done to
Drug Class: growth, transmission healthy and ease inborn errors of headache, monitor
Parenteral Nutritional of nerve impulses from vomiting amino acid drowsiness and changes in
Product and acetylcholine Pyridoxine: For the metabolism numbness fluid or
synthesis treatment of vitamin electrolyte
Dosage: Pyridoxine: B6 deficiency and balance.
25g/125mg/25mg/25mg/ Converted to also used in  Obtain
625mg/250mg/500mg pyridoxal 5- combination for baseline
phosphate which is controlling nausea electrolyte,
Frequency: an important and vomiting during glucose ,
1000mL to run coenzyme for the pregnancy BUN, calcium
10gtts/min synthesis of amino and
acids and phosphorus
Route: neurotransmitters levels before
Intravenous starting
therapy
DISCHARGE PLAN

A. MEDICATION
 Assure that the patient follows the prescribed medications at home.
 Remind to take the medications at the right time, right route and right dosage.
 Tell patient to avoid any self-medications and always consult a doctor first before taking any medication because it may cause
harm to the baby.
 Thoroughly educate the patient and family members about the action of prescribed drugs and also their potential side effects
and remind them to see physician immediately if any side effects may arise.
o Metoclopramide (Plasil) 10mg 2x a day
o Multivitamins (Suplenex)

B. EXERCISE
 Encourage sufficient rest and sleep to patient to replenish the energy lost caused by severe vomiting.
 Suggest to patient to avoid places or things that emanate stress to enable fast recovery.

C. TREATMENT
 Remind patient to seek immediate treatment when necessary as advised by the physician.
 Inform patient to continue necessary diagnostic examinations to ensure that both her and the baby are healthy without any
complications.

D. HEALTH TEACHING
 Advise patient to avoid taking hot food if it triggers nausea and vomiting.
 Promote taking ample resting periods to avoid stress and to regain energy and weight lost.
 Educate the importance of taking nutritional supplements to alleviate signs of dehydration.
 Recommend to patient to report any constant or serious adverse reactions immediately.
E. OUT PATIENT
  Advice the patient for follow ups or any update regarding the condition.
 Inform the patient about the importance of routine check-ups to ensure the well-being of both the mother and the child.

F. DIET
 Instruct the patient to have smaller but more frequent meals.
 Advice the patient to use straw when drinking or to have a smaller but more often fluid intake.
 Suggest adding ginger tea or ginger supplements to diet because ginger may be beneficial for lessening vomiting attacks.

G. SEXUAL/SPIRITUAL
 Promote praying practices or have a strong faith in God that would credit for faster healing.
 Advice the patient that her sexual desires may decrease due to sudden hormonal changes during pregnancy.