UNIVERSITY OF PANGASINAN-PEN COLLEGE OF NURSING Arellano St.
, Dagupan City
DRUG STUDY
DRUG NAME
Generic Name: METOCLOPRAMIDE
DRUG ACTION
Blocks dopamine receptors in chemorecep-tor trigger zone of CNS Stimulate motility of the upper GI tract and accelerates gastric emptying Therapeutic Effects: Decreased nausea and vomiting Decreased symptoms of gastric stasis Easier passage of nasogastric tube into the small bowel
INDICATIONS
CONTRAINDICATIONS
DRUG-DRUG INTERACTION
Additive CNS depression with other CNS depressants May increased absorption and risk of toxicity from cyphalospo-rin May affect the GI absorption of other orally administered drugs as a result of effect of GI motility May exaggerate hypotension during general anesthesia May increased neuromuscu-lar blockade from succinylcho-line May increased the effectiveness of levodopa.
ADVERSE REACTIONS
CNS: drowsiness, extrapyramidal reaction, restlessness, anxiety, depression, irritability, tartive dyskinesia CV: arrhythmias, hypertension, hypotension GI: constipation, diarrhea, dry mouth, nausea Endo: gynecomastia
NURSING CONSIDERATIONS
Assess patient for nausea, vomiting, abdominal distention, and bowel sounds before and after administra-tion Assess patient for extrapyramidal side effects periodically throughout course of therapy Monitor tardive dyskinesia . usually occur after a year or more or continued therapy Assess patient for signs of depression periodically throughout therapy.
Brand Name: REGLAN
Classification ANTIEMETIC
Prevention of Hypersensitivity chemotherapy Possible GI induced emesis obstruction or Treatment of hemorrhage postsurgical and History of seizure diabetic gastric disorders stasis Pheochromocy-toma Facilitation of Parkinsons disease small bowel intubation in Use Cautiously in: radiographic History of depression procedures Diabetes Management of Pregnancy and esophageal reflux lactation Treatment and Children and geriatric prevention of patients postoperative nausea and vomiting when nasogastric suctioning is undesirable Treatment of hiccups Adjuct management of migraine headaches