Generic and Brand Classification Indication/Specific Dosage, Frequency Side Effects and Actual Desired Nursing

Name Action/Mechanism of and Preparation Adverse Reactions Effects Considerations

Action

THERAPEUTIC INDICATIONS:  GERD: Adults: 10  Drowsiness,  Monitor BP

GENERIC NAME: CLASS: GI Stimulants- Metoclopramide in to 15 mg PO q.i.d., dizziness, carefully during IV
Metoclopramide the oral tablet form is as needed, 30 tiredness, trouble administration.
PHARMACOLOGIC used for symptomatic minutes before sleeping, agitation,
BRAND NAME: CLASS: Dopamine treatment of both acute meals and at headache, and  Monitor bowel
Reglan, Metonia, Antagonists and recurrent diabetic bedtime diarrhea may sounds.
Metozolv ODT gastroparesis, in  PO: Give drug 30 occur. If any of
addition to the minutes before these effects last or  Monitor diabetic
treatment of each meal at get worse, tell your patients.
gastroesophageal bedtime when used doctor or
reflux disease (GERD) for gastroparesis pharmacist  Monitor patient for
in patients who have and GERD. promptly. fever, CNS
failed to respond to  IV: Drug is symptoms,
traditional therapy. compatible with irregular pulse,
D5 W, NSS for cardiac
MOA: injection, dextrose arrhythmias, or
- Stimulates motility of 5% in half-NSS, abnormal BP,
upper GI tract, Ringer injection, which may
increases lower and lactated indicate NMS.
esophageal sphincter Ringer injection.
tone, and blocks NSS is the  Monitor patient for
dopamine receptors at preferred diluent; dizziness,
the chemoreceptor drug is most stable headache, or
trigger zone. in this solution. nervousness after
metoclopramide is
stopped; these may
indicate
withdrawal.