DAVAO DOCTOR COLLEGE CRITERIA:

General Malvar St., Davao City

Nursing Program

DRUG STUDY
 Content and organization
Analysis 40%
Neatness and promptness 10%
Reference 10%
TOTAL 100%
Name of Patient: Jesus Natividad
Age: 56 Sex: _Male Civil Status: N/A
CLASSIFICATION /
DRUG NAME
MECHANISM OF ACTION
 Prokinetic Agents
BRAND NAME:  Antiemetic
action: Metoclopramid
 REGLAN e inhibits dopamine
receptors in the
GENERIC: chemoreceptor trigger
 METOCLOPRAMID zone of the brain to
E inhibit or reduce
nausea and vomiting.
DOSAGE:
 10MG/ amp  GI stimulant
action: Drug relieves
 1 amp
esophageal reflux by
ROUTE:
 IVTT increasing lower
esophageal sphincter
tone and reduces
FREQUENCY: gastric stasis by
stimulating motility of
 PRN FOR ACTIVE the upper GI tract, thus
VOMITING reducing gastric
emptying time.
REFERENCES:
KARCH.A.
(2007).LIPPINOCOTTS.NUR
SINGDRUGGUIDE
40%
Date of Admission: Feb. 07, 2021 Room: 401a
Attending Physician: Dr. Sabido
NURSING
INDICATION CONTRAINDICATIONS ADVERSE EFFECTS
RESPONSIBILITY
 Metoclopramide is  Contraindicated in  CNS: restlessness,  Don’t use drug for longer than
used to relieve patients for whom anxiety, drowsiness, 12 weeks
heartburn and speed stimulation of GI fatigue, lassitude,  For I.V. push, use undiluted
the healing of ulcers motility might be depression, and inject over a 1-to 2-
minute period.
and sores in the dangerous (such as akathisia, insomnia,
 For I.V. infusion, dilute with 50
esophagus (tube that those with confusion, suicidal ml of D5W, dextrose 5% in
connects the mouth hemorrhage, ideation, half-normal saline injection,
to the stomach) in mechanical seizures, hallucinati Ringer’s injection, or lactated
people who have obstruction, or ons, headache, Ringer’s injection, and infuse
gastroesophageal perforation), in dizziness, over at least 15 minutes.
reflux disease patients extrapyramidal Solution is stable for 48 hours
(GERD; condition in hypersensitive to symptoms, tardive when stored at 39° to 86° F
which backward flow drug, and in those dyskinesia, fever, (4° to 30° C) and protected
of acid from the with dystonic reactions. from light or for 24 hours
when exposed to normal light.
stomach causes pheochromocytoma
Drug may be added to total or
heartburn and injury or seizure disorders.  CV: transient partial parenteral nutrition.
of the esophagus) Use cautiously in hypertension,  Drug is incompatible with
that did not get better patients with history hypotension, cisplatin, methotrexate,
with other of depression, supraventricular cephalosporins,
treatments.  Parkinson’s disease, tachycardia, bradyc chloramphenicol, and sodium
or hypertension. ardia. bicarbonate. Consult specific
 GI: nausea, bowel references for compatibility
disturbances, information.
diarrhea.
 Geriatric patients
 GU: urinary • Use drug cautiously,
especially if patient has
frequency,
impaired renal function;
incontinence, dosage may need to be
prolactin secretion. decreased.
• Geriatric patients are more
likely to experience
extrapyramidal symptoms and
tardive dyskinesia.
 Respiratory: bronch
 ospasm.
 Patient education
 Skin: rash, urticaria.
 Other: porphyria,
loss of libido.
• Warn patient to avoid driving
for 2 hours after each dose
because drug may cause
drowsiness.
• Until extent of CNS effect is
known, advise patient not to
consume alcohol.
• Tell patient to report
twitching or involuntary
movement.

SAYMAN, EMBER MARIE – BSN-3 13E

BBN/DTS/2020 Name of Student