NURS 1566 Clinical Form 3: Clinical Medications Worksheets

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

Generic Name Trade Classification Dose Route Time/frequency

Metocloprami Name Antiemetics 75 mg IVP Q 4-6 hr PRN Nausea
de Reglan
Peak Onset Duration Normal dosage range
Immediate 1-3 min 1-2 hr 1-2 mg/kg q 4-6hr

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or
Treatment of nausea from opioid analgesics and acute solutions
pain D5W, 0.9% NaCl, D5/0.45% NaCl, Ringer’s solution or
LR
RATE OF ADMINISTRATION: Infuse slowly
maximum rate 5 mg/min over at least 15-30 min.
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Blocks dopamine receptors in chemoreceptor trigger Hypersensitivity. Possible GI obstruction or
zone of the CNS. Stimulates motility of the upper GI hemorrhage. History of seizure disorders.
tract and accelerates gastric emptying. Pheochromocytoma. Parkinson’s disease. Use caution
with history of depression; diabetes.
Common side effects
CNS: drowsiness, extrapyramidal reactions,
restlessness. Neuroleptic malignant syndrome. Anxiety,
depression, irritability, tardive dyskinesia. CV:
arrhythmias, hypertension, hypotension. GI:
constipation, diarrhea, dry mouth, nausea. ENDO:
gynecomastia. HEMAT: methemoglobinemia,
neutropenia, luekopenia, agranulocytosis.
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 cause
Additive CNS depression with other CNS depressants increased serum prolactin and aldosterone
concentrations.
Be sure to teach the patient the following about this
medication
Take as directed, may cause drowsiness, avoid driving.
Do not drink alcohol and other CNS depressants
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess for nausea, vomiting, abdominal med? Monitor for improvement
distention, and bowel sounds. Extrapyramidal side effects, of nausea.
hypersensitivity