NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Trade Metocloprami Name de Reglan Peak Onset Immediate 1-3 min
Classification Antiemetics
Dose 75 mg
Duration 1-2 hr
Why is your patient getting this medication Treatment of nausea from opioid analgesics and acute pain
Route IVP
Time/frequency Q 4-6 hr PRN Nausea
Normal dosage range 1-2 mg/kg q 4-6hr
For IV meds, compatibility with IV drips and/or solutions D5W, 0.9% NaCl, D5/0.45% NaCl, Ringer’s solution or LR RATE OF ADMINISTRATION: Infuse slowly maximum rate 5 mg/min over at least 15-30 min. Mechanism of action and indications Nursing Implications (what to focus on) (Why med ordered) Contraindications/warnings/interactions Blocks dopamine receptors in chemoreceptor trigger Hypersensitivity. Possible GI obstruction or zone of the CNS. Stimulates motility of the upper GI hemorrhage. History of seizure disorders. tract and accelerates gastric emptying. Pheochromocytoma. Parkinson’s disease. Use caution with history of depression; diabetes. Common side effects CNS: drowsiness, extrapyramidal reactions, restlessness. Neuroleptic malignant syndrome. Anxiety, depression, irritability, tardive dyskinesia. CV: arrhythmias, hypertension, hypotension. GI: constipation, diarrhea, dry mouth, nausea. ENDO: gynecomastia. HEMAT: methemoglobinemia, neutropenia, luekopenia, agranulocytosis. 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 cause Additive CNS depression with other CNS depressants increased serum prolactin and aldosterone concentrations. Be sure to teach the patient the following about this medication Take as directed, may cause drowsiness, avoid driving. Do not drink alcohol and other CNS depressants Nursing Process- Assessment Assessment Evaluation (Pre-administration assessment) Why would you hold or not give this Check after giving Assess for nausea, vomiting, abdominal med? Monitor for improvement distention, and bowel sounds. Extrapyramidal side effects, of nausea. hypersensitivity