NAME: HONEYMEL VINCE M.

RUPINTA BLOCK: BSN 4B

DATE OF SUBMISSION: 10/03/2023

Nursing Process Focus: Care Patients Receiving: METOCLOPRAMIDE

Classification of the Drug: Antiemeteics, GI Stimulant

Common Indications of the Drug: Relief of symptoms of acute and recurrent diabetic gastroparesis; nausea and
vomiting, motion sickness
Common Brand Names: Reglan, Reclomide

Assessment Possible Nursing Diagnoses

Prior to administration:  Risk for fluid volume deficit related to nausea
 Obtain baseline data such as vital signs, and vomiting
especially blood pressure and pulse rate  Risk for injury related to adverse effects
 Assess patient for signs of intestinal  Deficient knowledge related to drug therapy
obstruction, such as abnormal bowel sounds,
diarrhea, nausea, and vomiting, before
administering metoclopramide.
 Assess patient for dehydration due to
excessive fluid vomiting
 Assess patient’s medical history, allergies
history

Planning: Patient Outcomes

After nursing interventions, the patient will:
 The patient will maintain adequate fluid volume balance as evidenced by intake and output, vital signs,
and electrolyte evaluations.
 The patient will be free from injury as evidenced by absence of adverse effects.
 The patient and family or caregivers will demonstrate an understanding of drug therapy.

Implementation
Interventions with Rationales
1. Administer the drug as directed to promote GI
effectiveness and relieve distress.
2. Monitor vital signs. If vomiting is severe,
dehydration may occur, and shock like
symptoms may be present.
3. Monitor bowel sounds for hypoactivity or
hyperactivity.
4. Monitor patient for adverse effects and
consult physician if they occur.
5. Monitor diabetic patients, arrange for
alteration in insulin dose or timing if diabetic
control is compromised by alterations in
timing of food absorption.
6. Provide mouth care after vomiting.
7. Keep diphenhydramine injection readily
available in case extrapyramidal reactions
occur (50 mg IM).
8. Notify physician if involuntary movements of
the face, eyes, or limbs, severe depression or
severe diarrhea occurs.
9. Provide patient education about the
effectiveness of drug therapy and purpose
Patient Education/Discharge Planning
1. Instruct patient to take treatment regimen as
prescribed.
2. Advise patient to integrate a healthy lifestyle
such as exercising, eating healthy food,
reduction of calorie, and sodium intake to
increase the effectiveness of drug therapy and
for patient’s optimum recovery.
3. Instruct patient to report all adverse effects
occurring after taking the medication.
4. Inform patient that they may experience these
side effects: drowsiness, dizziness (do not
drive or perform other tasks that require
alertness); restlessness, anxiety, depression,
headache, insomnia (reversible); nausea,
diarrhea.
5. Suggest patients non-pharmacological
management methods of alleviating nausea
and vomiting such as flat soda, weak tea,
crackers and dry toast
6. Provide thorough patient teaching and inform
patient about the name and usage of drug as
well as the side effects and the avoidance of
certain drug interactions and adverse
reactions.

Evaluation of Outcome Criteria (Met, Partially met, Not met)

After nursing interventions, the patient was able to:
 Maintained an adequate fluid volume balance as evidenced by intake and output, vital signs, and
electrolyte evaluations.
 Free from injury as evidenced by absence of adverse effects.
 Demonstrate an understanding of drug therapy.

Reference:
NPF Drug Study No. 5