INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

(You will need to made additional copies of these forms)

Generic Trade Classification Dose Route Time/Frequency
Name Name
metoclopramide Reglan Antiemetics 10 mg IVP q12 prn Rate: Infuse slowly over at least
15-30 minutes.
Max rate = 5mg/min
Peak Onset Duration Normal Dosage Range 10mg q6-8 hr
immediate 1-3 minutes 1-2 hours

Why is your patient taking this medication?
Mechanism of action and indications
chemotherapy-induced emesis; postsurgical and diabetic
gastric statis; small bowel intubation in radiographic
procedures
espohageal reflux
nausea and vomiting when nasogastric suction is
undesirable
Blocks dopamine receptors in chemoreceptor trigger
zone of the CNS. Stimulates motility of the upper GI tract
and accelerates gastric emptying
Interactions with other patient drugs, OTC, or herbal
medicines (ask patient specifically)
CNS depressants; alcohol; antidepressants;
antihistamines; opiod analygesics; sedative/hypnotics;
cyclosporine; GI orally administered drugs; general anesthesia; Be sure to teach the patient the following about this medication
anesthesia; haloperidol; phenothiazines; opiods;
anticholinergics; MAOIs;
succinylcholine; levodopa; tacrolimus
For IV meds, compatability with IV drips and/or solutions
Compatability: droperidol
Incompatability: None
Nursing Implications (what to focus on)
Contraindications/warnings/interactions Hypersensitivity
possible GI obstruction or hemorrhage; seizure disorders; Parkinson's disease;
depression; diabetes (may alter response to insulin); increased incidence
of extrapyramidal reactions
Common side effects
drowsiness; extrapyramidal reactions; restlessness; anxiety; depression;
irritability; tardive dyskinesia; arrhythmias; hypertension; hypotension;
constipation; diarrhea; dry mouth; nausea.
Neuroleptic malignant syndrome
Lab value alterations caused by medicine
hepatic funtion test results
increased serum prolactin and aldosterone concentrations
may cause drowsiness; avoid use of alcohol; report involuntary movements
of eyes, face, or limbs

Nursing Process - Assessment Assessment Evaluation

(Pre-administration assessment) Why would you hold or not give Check after giving
this med?
nausea; vomiting; abdominal distention; and extrapyramidal SE Prevention of relief of nausea and vomiting
bowel sounds before and after adminstration; Neuroleptic malignant syndrome decreased symptoms of gastric statis
extrapyramidal side effects; hyperthermia; (hyperthermia; muscle rigidity; altered LOC; decreased symptoms of esophageal reflux
muscle rigidity; altered LOC; irregular pulse; or BP; irregular pulse or BP; tachycardia;
tachycardia; diaphoresis; depression diaphoresis)