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Reglan (Metoclopramide) Nursing Guide

1) Metoclopramide (Reglan) is an antiemetic medication given intravenously to treat nausea and block dopamine receptors in the chemoreceptor trigger zone. 2) It has a rapid onset of 1-3 minutes, duration of action of 1-2 hours, and is given every 6 hours as needed by intravenous push over 1-2 minutes. 3) Nursing implications for this medication include monitoring for extrapyramidal side effects like dystonia, assessing for contraindications like seizure disorders or depression, and teaching the patient about potential drowsiness and not driving until the effects are known.

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Adrianne Bazo
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2K views4 pages

Reglan (Metoclopramide) Nursing Guide

1) Metoclopramide (Reglan) is an antiemetic medication given intravenously to treat nausea and block dopamine receptors in the chemoreceptor trigger zone. 2) It has a rapid onset of 1-3 minutes, duration of action of 1-2 hours, and is given every 6 hours as needed by intravenous push over 1-2 minutes. 3) Nursing implications for this medication include monitoring for extrapyramidal side effects like dystonia, assessing for contraindications like seizure disorders or depression, and teaching the patient about potential drowsiness and not driving until the effects are known.

Uploaded by

Adrianne Bazo
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

NURS 2516 Clinical Medications Worksheets

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

Generic Name Trade Name Classification Dose Route Time/frequency


metoclopramide Reglan antiemetics 10 mg IVP Q6H PRN
Range: 10 mg
over 1-2 min
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
immediate 1-3 min 1-2 hr NA
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
•
Treat nausea H
y
p
• e
B r
l s
o e
c n
k s
s it
d i
o v
p it
a y
m
i
n
e •
r Hist
e ory
c of
e seiz
p ure
t diso
o rder
r s
s
i
n •
c P
h heo
e chro
m moc
o yto
r ma
e
c
e
p Common side effects
t
drowsiness, extrapyramidal reactions, restlessness,
o
r
tr
i
g
g
e
r
z
o
n
e
o
f
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) May alter hepatic function test results
May affect the GI absorption of other orally administered drugs ○
as a result of effect on GI motility May
Additive CNS depression with other CNS depressants , caus
including alcohol , antidepressants , antihistamines , opioid e
analgesics , and sedative/hypnotics incre
ased
seru
m
prola
ctin
and
aldo
stero
ne
conc
entr
ation
s.
Be sure to teach the patient the following about this
medication
Administer doses 30 min before meals and at bedtime
May cause drowsiness. Caution patient to avoid driving or other
activities requiring alertness until response to medication is
known. Advise patient to avoid concurrent use of alcohol and
other CNS depressants while taking this medication
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess patient for nausea, vomiting, abdominal med?
distention, and bowel sounds before and after Hypersensitive, hypotensive,
administration
Assess patient for extrapyramidal side
depression
effects(difficulty speaking or swallowing, loss of neuroleptic malignant syndrome
balance control, pill rolling, mask-like face, shuffling (hyperthermia, muscle rigidity, altered
gait, rigidity, tremors; and dystonic--muscle consciousness, irregular pulse or blood
spasms, twisting motions, twitching, inability to pnotify health care professional
move eyes, weakness of arms or legs) immediately if involuntary movement of
eyes, face, or limbs occursressure,
tachycardia, and diaphoresis)
•
P
r
e
v
e
n
ti
o
n
o
r
r
e
li
e
f
o
f
n
a
u
s
e
a
a
n
d
v
o
m
it
i
n
g

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