Metoclopramide (Reglan) Nursing Considerations

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Kara Tarr
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Drug Card Metoclopramide (Reglan) (Cheatsheet)
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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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PATHOPHARMOCOLOGY

Concepts Covered:

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

Study Plan Lessons

12 Points to Answering Pharmacology Questions
Dark Skin: IV Insertion
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Drawing Blood from the IV
Geriatric: IV Insertion
Giving Medication Through An IV Set Port
Hanging an IV Piggyback
How to Remove (discontinue) an IV
How to Secure an IV (chevron, transparent dressing)
Hydralazine
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydromorphone (Dilaudid) Nursing Considerations
IM Injections
Injectable Medications
Insulin
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin Drips
Insulin Mixing
Interactive Pharmacology Practice
Interactive Practice Drip Calculations
IV Catheter Selection (gauge, color)
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
IV Drip Administration & Safety Checks
IV Drip Therapy – Medications Used for Drips
IV Infusions (Solutions)
IV Insertion Angle
IV Insertion Course Introduction
IV Placement Start To Finish (How to Start an IV)
IV Pump Management
IV Push Medications
Ketorolac (Toradol) Nursing Considerations
Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)
Lidocaine (Xylocaine) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Maintenance of the IV
Mannitol (Osmitrol) Nursing Considerations
MAOIs
Medication Errors
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Medications in Ampules
Meds for Postpartum Hemorrhage (PPH)
Meperidine (Demerol) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Nalbuphine (Nubain) Nursing Considerations
Needle Safety
Neostigmine (Prostigmin) Nursing Considerations
NG Tube Med Administration (Nasogastric)
NG Tube Medication Administration
Nitro Compounds
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
Nystatin (Mycostatin) Nursing Considerations
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Olanzapine (Zyprexa) Nursing Considerations
Opioid Analgesics in Pregnancy
Oral Medications
Oxycodone (OxyContin) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Pain Management Meds – Live Tutoring Archive
Parasympathomimetics (Cholinergics) Nursing Considerations
Patient Controlled Analgesia (PCA)
Pediatric Dosage Calculations
Pentobarbital (Nembutal) Nursing Considerations
Pharmacodynamics
Pharmacokinetics
Pharmacokinetics Nursing Mnemonic (ADME)
Pharmacology Course Introduction
Phenobarbital (Luminal) Nursing Considerations
Phytonadione (Vitamin K) for Newborn
Pill Crushing & Cutting
Positioning
Procainamide (Pronestyl) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Ranitidine (Zantac) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Sedatives-Hypnotics
Selecting THE vein
Spiking & Priming IV Bags
Starting an IV
Streptokinase (Streptase) Nursing Considerations
Struggling with Dimensional Analysis? – Live Tutoring Archive
SubQ Injections
Supplies Needed
Tattoos IV Insertion
TCAs
The SOCK Method – C
The SOCK Method – K
The SOCK Method – O
The SOCK Method – Overview
The SOCK Method – S
Tips & Tricks
Tips & Advice for Newborns (Neonatal IV Insertion)
Tips & Advice for Pediatric IV
Understanding All The IV Set Ports
Using Aseptic Technique
Verapamil (Calan) Nursing Considerations