Metoclopramide (Reglan) Nursing Considerations

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Kara Tarr
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Outline

Generic Name

metoclopramide

Trade Name

Reglan

Indication

prevention of nausea, vomiting, hiccups, migraines, gastric stasis

Action

accelerates gastric emptying by stimulating motility

Therapeutic Class

antiemetic

Pharmacologic Class

Dopamine D2 receptor antagonist, prokinetic

Nursing Considerations

• do not use with GI obstruction
• may cause extrapyramidal reaction, neurolyptic malignant syndrome, tardive dyskinesia,
arrhythmias, blood pressure alterations, hematologic alterations, facial movements, sedation
• can decrease effects of levodopa
• assess nausea/vomiting
• monitor liver function tests

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Transcript

Okay, let’s talk about medical. Obide also known as reg. This is an IV medication, as you can see here. And it also comes in an oral form. The therapeutic class of medical obide is an antiemetic and this is how it works in the body. The pharmacologic class of medical provide is a prokinetic agent, and this is the chemical effect. Medical provide works by accelerating gastric ting by stimulating motility via dopaminegic receptors. We use the medication for the prevention of nausea, for vomiting, for hiccups, migraines, and also for gastric stasis. So some of the side effects that we do see with medical over mind are things like sedation, arrhythmias, and even changes in blood of pressure. 

Let’s take a look at a few of the nursing considerations for medical provide this drug may cause issues like tardive dyskinesia, also extra Peral reactions, neuroleptic malignant syndrome, hematologic reactions, and those unwanted movements use caution, or in fact do not use with patients with GI obstruction and this drug can decrease the effects of levodopa. Be sure to assess your patient for signs of nausea and vomiting and monitor their liver function tests, teach the patient who take exactly as directed and report side effects to their provider. So guys, we do use this, um, drug a lot in surgery, but for patients that are elderly or patients that have, um, known renal dysfunction, we use a lower dose because they are at the highest risk of dystonic reactions. That’s it for medical obide or reg now go out and be your best self today and as always happy nursing.

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Pharmacology

Concepts Covered:

  • Depressive Disorders
  • Medication Administration
  • Learning Pharmacology
  • Circulatory System
  • Upper GI Disorders
  • Concepts of Pharmacology
  • Studying
  • Test Taking Strategies
  • Tissues and Glands
  • Neurological
  • Pregnancy Risks
  • Emergency Care of the Cardiac Patient
  • Microbiology
  • Cardiac Disorders
  • Nervous System
  • Intraoperative Nursing
  • Central Nervous System Disorders – Brain
  • Immunological Disorders
  • Fundamentals of Emergency Nursing
  • Understanding Society
  • Gastrointestinal Disorders
  • Hematologic Disorders
  • Adulthood Growth and Development
  • Disorders of Pancreas
  • Respiratory Disorders
  • Postpartum Complications
  • Postoperative Nursing
  • Noninfectious Respiratory Disorder
  • Bipolar Disorders
  • Newborn Care
  • Psychotic Disorders
  • Anxiety Disorders
  • Vascular Disorders
  • Peripheral Nervous System Disorders
  • Prenatal Concepts
  • Substance Abuse Disorders

Study Plan Lessons

MAOIs
The SOCK Method – C
The SOCK Method – K
The SOCK Method – O
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method of Pharmacology 1 – Live Tutoring Archive
The SOCK Method of Pharmacology 2 – Live Tutoring Archive
The SOCK Method of Pharmacology 3 – Live Tutoring Archive
Selecting THE vein
Ranitidine (Zantac) Nursing Considerations
Pharmacology Course Introduction
Pharmacokinetics Nursing Mnemonic (ADME)
12 Points to Answering Pharmacology Questions
Tattoos IV Insertion
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
Mannitol (Osmitrol) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Adenosine (Adenocard) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Anti-Infective – Antifungals
Anti-Platelet Aggregate
Atropine (Atropen) Nursing Considerations
Barbiturates
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Combative: IV Insertion
Dark Skin: IV Insertion
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Drawing Blood from the IV
Epoetin Alfa
Geriatric: IV Insertion
Giving Medication Through An IV Set Port
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
IV Insertion Angle
IV Placement Start To Finish (How to Start an IV)
Ketorolac (Toradol) Nursing Considerations
Medication Errors
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Meds for Postpartum Hemorrhage (PPH)
Meperidine (Demerol) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Nalbuphine (Nubain) Nursing Considerations
NG Tube Med Administration (Nasogastric)
NG Tube Medication Administration
Parasympathomimetics (Cholinergics) Nursing Considerations
Pentobarbital (Nembutal) Nursing Considerations
Phytonadione (Vitamin K) for Newborn
Positioning
Propofol (Diprivan) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Sedatives-Hypnotics
Streptokinase (Streptase) Nursing Considerations
Tips & Advice for Newborns (Neonatal IV Insertion)
Tips & Advice for Pediatric IV
Understanding All The IV Set Ports
Verapamil (Calan) Nursing Considerations
Injectable Medications
Insulin
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin Drips
Insulin Mixing
Fentanyl (Duragesic) Nursing Considerations
Cyclosporine (Sandimmune) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Benztropine (Cogentin) Nursing Considerations
Bariatric: IV Insertion
Atenolol (Tenormin) Nursing Considerations
Antidepressants
Antianxiety Meds
Anesthetic Agents
Neostigmine (Prostigmin) Nursing Considerations
Opioid Analgesics in Pregnancy
Olanzapine (Zyprexa) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Pharmacodynamics
Pharmacokinetics
Phenobarbital (Luminal) Nursing Considerations
Procainamide (Pronestyl) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Interactive Pharmacology Practice
Hydromorphone (Dilaudid) Nursing Considerations
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydralazine
Eye Prophylaxis for Newborn