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Metoclopramide Drug Study Overview

Metoclopramide is used to treat symptoms of diabetic gastroparesis and gastroesophageal reflux disease. It works by stimulating upper gastrointestinal motility without stimulating secretion. As a dopamine antagonist, it can cause extrapyramidal reactions as a side effect. Nursing responsibilities include assessing for allergies or contraindications, monitoring for side effects like extrapyramidal reactions, and educating the patient.

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Nicholas Tagle
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68 views3 pages

Metoclopramide Drug Study Overview

Metoclopramide is used to treat symptoms of diabetic gastroparesis and gastroesophageal reflux disease. It works by stimulating upper gastrointestinal motility without stimulating secretion. As a dopamine antagonist, it can cause extrapyramidal reactions as a side effect. Nursing responsibilities include assessing for allergies or contraindications, monitoring for side effects like extrapyramidal reactions, and educating the patient.

Uploaded by

Nicholas Tagle
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Name: Nicholas M.

Tagle NCM-RLE

Year & Section: BSN IV-A

Drug Study: Metoclopramide

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

-Unlabeled uses:
Improvement of
lactation;
treatment of
nausea and
vomiting of a
variety of
etiologies:
hyperemesis
gravidarum, gastric
ulcer, anorexia
nervosa

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