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Name of Classifica Dose/ Mechanism of Contraindication Side effects Nursing Precaution

Drug tion Frequen action Indication


Generic cy/
(brand) Route
Metoclopra prokinetic 10mg  Metoclopr  Metoclopra  Gastrointestin  feeling  History:
mide agents amp amide is mide has al bleeding. restles Allergy to
iamp q8 principally been Obstruction. s; metocloprami
prn a approved Perforation.  feeling de, GI
dopamine by the FDA  Pheochromoc drows hemorrhage,
D2 specifically ytoma. y or mechanical
antagonist to treat  Seizures. tired; obstruction or
but also nausea and  Depression.  lack of perforation,
acts as an vomiting in  Parkinson energy pheochromocy
agonist on patients disease. ; toma,
serotonin with  History of  nause epilepsy,
5-HT4 gastroesop tardive a, lactation,
receptors hageal dyskinesia. vomiti previously
and causes reflux ng; detected
weak disease or  heada breast cancer
inhibition diabetic che,  Physical:
of 5-HT3 gastropares confus Orientation,
receptors. is by ion; reflexes,
increasing or. affect; P, BP;
gastric  sleep bowel sounds,
motility. It proble normal output;
is also used ms EEG
to control (insom  Monitor BP
nausea and nia). carefully
vomiting in during IV
chemother administration
apy .
patients  Monitor for
extrapyramidal
reactions, and
consult
physician if
they occur.
 Monitor
diabetic
patients,
arrange for
alteration in
insulin dose or
timing if
diabetic
control is
compromised
by alterations
in timing of
food
absorption.
 WARNING:
Keep
diphenhydrami
ne injection
readily
available in
case
extrapyramidal
reactions
occur (50 mg
IM).
 WARNING:
Have
phentolamine
readily
available in
case of
hypertensive
crisis (most
likely to occur
with
undiagnosed
pheochromocy
toma).

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