Note: Any up-dates are to be completed in different color ink.
k. The student is expected to document all meds the client is currently receiving.
MEDICATION NAME
GENERIC/TRADE INDICATION/ ACTION
CLASSIFICATION
(PHARM) AND
PREGNANCY
CATEGORY
Tx of symptomatic gastro-
Metoclopramide hcl esophageal reflux not
(Reglan) responsive to conventional
therapy, Tx of symptoms
GI stimulant associated with
peristaltic stimulant , acute/recurrent diabetic
dopamine receptor gastroparesis, antiemetic for
antagonist cancer chemotherapy,
facilitation of small bowel
Preg. Cat. B intubation, facilitation of
barium removal after
Mosby’s Drug Nsg radiologic exam.
Card 180 Suppresses emesis (by
blocking receptors for
dopamin and serotonin in
the CTZ) and increases
upper GI Motility (by
enhancing the actions of
acetylcholine).
Persistaltic stimulation
appears related to upper gut
sensitizing of acetylcholine,
increase gastric tone,
amplitude contraction,
relaxation of pyloric
sphincter, resulting in
accelerated emptying drug
causes release of prolactin.
DOSE, ROUTE, TIMES EFFECTS PREGANCY
DOSGE FOOD/DRUG INTERACTIONS SIDE EFFECTS FETUS AND/OR NURSING CONSIDERATIONS
RANGE NEONATE
(include therapeutic dose
calculation)
Antiemetic- Adult Use with CNS drowsiness, GI hemorrhage, Hx of hypersensitivity, renal
Chemotherapy IV 1- anticholinergics/narcotics restlessness, obstruction, function may require decrease
mg/kg can antagonize stimulant lassitude, perforation, dosage if impaired, Pain,
Postop IM 10-20mg effect, Use with CNS dizziness, hypersensitivity, acute/chronic. Administer PO 30m
Intubation IV10mg depressants produces headache, pheochromcytoma, ac, at bedtime.
Barium removal IV additive depression, Insulin insomnia, epilepsy with drugs IV dilute according tomfg
10mg adjustment may be required akathisia, extra that induce directions via slow direct injection
Diabetic gastropaesis for diabetics, Use with pyramidal rxs extrapyramidal (1-2m, infusion>15m) discard
IV severe symptoms acetaminophen, aspirin, (rare), visual symptoms. Use can unused portions, avoid exposure to
10mg sysloserine, disturbances, result in rare cases of heat/light in storage, cover IV
PO 10mg 30m ac, at diazepamethanol, levodopa, galactorrhea, depression, bags with aluminum foil, Na
bedtime for 8 wks lithium tetracycline can amenorrhea, extrapyramidal content 0.14mEg/ml.
Reflux PO 10-15mg increase their absorption in gynecomastis, symptoms, tardive (IV) calculate in Na restricted
30m ac, at bedtime the small intestines. impotence, dyskinesia. diets.
Single 20mg dose before nausea, bowel Like high-dose Monitor VS, daily weight, I&O,
provoking condition disturbances therapy, sedation and presence of extrapyramidal
Pediatric Intubation (diarrhea) rash, diarrhea are common. symptoms (muscle spasms,
IV <6y/o 0.1mg/kg 6- Bronchospasm, Life other dopamine tremors, shuffling gait), notify
14y/o 2.5-5mg porphyria. antagonists, physician. Serum electrolytes
metoclopramide may (decrease K+, increase Na), blood
cause extrapyramidal glucose, potentiation of CNS
reactions especially in depressant effect. Maintain safety
children. precautions (drowsiness).
PHARM