PHINMA - UNIVERSITY OF ILOILO

COLLEGE OF ALLIED HEALTH SCIENCES

Nursing Department

DRUG STUDY
THERAPEUTIC NURSING
MEDICATION INDICATIONS CONTRAINDICATIONS SIDE EFFECTS
ACTIONS RESPONSIBILITIES/PRECAUTIONS
GENERIC NAME: Stimulates upper GI tract -Relief of symptoms of Concentrations CNS: Restlessness, Before
Metoclopramide motility without acute and recurrent - Allergy to metoclopramide drowsiness, fatigue, - Observe 15 rights in drug administration.
stimulating gastric, diabetic gastroparesis - GI hemorrhage lassitude, insomnia, - Assess for allergy to metoclopramide.
BRAND NAME: billiary, or pancreatic - Short-term therapy for - Mechanical obstruction or extrapyramidal - Assess for other contraindications.
Reglan, Maxolon secretions; appears to adults with symptomatic perforation reactions, - Keep diphenhydramine injection readily
Maveran sensitize tissues to GERD who fail to - Pheochromocytoma parinsonism-like available in case extrapyramidal reactions occur
acetylcholine action; respond to conventional - Epilepsy reactions, akathisia, (50 mg IM).
CLASSIFICATION: relaxes pyloric sphincter, therapy dystonia, myoclonus, - Have phentolamine readily available in case of
Pharmacologic Class: which, when combined - Prevention of nausea Precaution dizziness, anxiety hypertensive crisis.
Dopaminergic blocker with motility effects, and vomiting associated - Previously detected breast
speeds gastric emptying with emetogenic cancer cancer CV: Transient During
Therapeutic Class: and intestinal transit; chemotherapy - Lactation hypertension - Monitor BP carefully during IV administration.
Antiemetic little effect on gallbladder - Prophylaxis of - Pregnancy - Monitor for extrapyramidal reactions, and
GI stimulant or colon motility; postoperative nausea - Fluid overload GI: Nausea, diarrhea consult physician if they occur.
increases lower and vomiting when - Renal impairment - Monitor diabetic patients.
esophageal sphincter nasogastric suction is - Give direct IV doses slowly over 1-2 minutes.
ROUTE:
pressure; has sedative undesirable Drug interaction - For IV infusion, give over at least 15 minutes.
Oral
properties; induces - Facilitation of small- Drug to drug
Intramuscular
prolactin bowel intubation when - Decreased absorption of digoxin After
Intravenous
tube does not pass the from the stomach - Dispose of used materials properly.
pylorus with - Increased toxic and - Educate patient about side effects.
DOSAGE/
conventional maneuvers immunosuppressive effects of - Instruct to report involuntary movement of the
FREQUENCY: - Stimulation of gastric cyclosporine face, eyes, or limbs, severe depression, severe
10mg IV q4h emptying and intestinal - Increased neuromuscular diarrhea.
10-15 mg PO up to 4 transit of barium when blocking effect of succinylcholine - Instruct patient to take drug exactly as
times/day 30 minutes delayed emptying prescribed.
before each meal and at interferes with - Instruct not to use alcohol, sleep remedies or
bedtime for 2-8 weeks radiologic examination sedatives; serious sedation could occur.
of the stomach or small - Do proper documentation.
intestine
PREPARED BY: Billones, Rica S.

CLINICAL INSTRUCTOR: