ST.

DOMINIC SAVIO COLLEGE

Name of Drug Dosage Indications Mechanism of Action Contraindications Adverse Reaction Nursing Interventions

Brand Name: 10mg IV q4h10- - Relief of symptoms of acute and Stimulates motility of upper Concentrations CNS: Restlessness, Before
Reglan, 15 mg PO up to recurrent diabetic gastroparesis GI tract without stimulating - Allergy drowsiness, fatigue, - Observe 15 rights in drugadministration.
MaxolonMaveran 4times/day 30 gastric, billiary, or to metoclopramide lassitude, insomnia, - - Assess for allergy to metoclopramide.
minutes before - Short-term therapy for adults pancreatic secretions; - GI hemorrhage extrapyramidal - Assess for other contraindications.
each meal and at with symptomatic GERD who fail appears to sensitize tissues - Mechanical obstruction reactions, parinsonism- - - Keep diphenhydramine injection
bedtime for 2-8 to respond to conventional to action of acetylcholine; or perforation likereactions, akathisia, readilyavailable in case
extrapyramidalreactions occur (50 mg IM).
Generic Name: weeks therapy relaxes pyloricsphincter, - Pheochromocytoma dystonia, myoclonus,
- Have phentolamine readily available incase
Metoclopramide which, when combined - Epilepsy dizziness, anxiety
of hypertensive crisis.
- Prevention of nausea and with effects on motility, During
vomiting associated with accelerates gastric Precaution CV: Transient - Monitor BP carefully dring IVadministration.
emetogenic cancer emptying and intestinal - Previously detected hypertension - Monitor for extrapyramidal reactions,and consult
Classification: chemotherapy transit; little effect on breast cancer physician if they occur.
Dopaminergic gallbladder or colon - Lactation GI: Nausea, diarrhea - Monitor diabetic patients.
blocker - Prophylaxis of post operative motility; increases - Pregnancy - Give direct IV doses slowly over 1-2minutes.
nausea and vomiting when lower esophageal - Fluid overload - For IV infusion, give over at least 15minutes.
nasogastric suction is undesirable sphincter pressure; has - Renal impairmen
sedative properties; After
- Facilitation of small-bowel induces release - Dispose of used materials properly.
Route: - Educate patient about side effects.
Oral, intubation when tube does not of prolactin.
- Instruct to report involuntary movementof the
Intramuscular, pass the pylorus with
face, eyes, or limbs, severedepression, severe
Intravenous conventional maneuvers
diarrhea.
- Instruct patient to take drug exactly asprescribed.
- Stimulation of gastric emptying - Instruct not to use alcohol, sleepremedies or
and intestinal transit of barium sedatives; serious sedationcould occur.
when delayed emptying - Do proper documentation.
interferes with radiologic
examination of the stomach or
small intestine