Drug Study

Topics: Stomach, Gastroesophageal reflux disease, Gastric acid Pages: 2 (355 words) Published: January 20, 2013
DRUG ORDER| BRAND NAME| PHARMACOLOGIC ACTIONS| INDICATIONS AND CONTRAINDICATIONS| ADVERSE EFFECT| DESIRED EFFECT| NURSING RESPONSIBILITIES| Metoclopramide 4mg per ampule TIV, statAntiemeticStart of Drug AdministrationJuly 25, 2012| Vitamet| Stimulates motility of upper gastrointestinal tract without stimulating gastric, biliary or pancreatic secretions; appears to sensitize tissues to action of acetylcholine; relaxes pyloric sphincter, which, when combined with effects on motility, accelerates gastric emptying and intestinal transit; little effect on gallbladder or colon motility; increases lower esophageal sphincter pressure| Indication: * For adults with symptomatic gastroesophageal reflux, who fail to respond to conventional therapyContraindication: * Allergy to metoclopramide| CNS: restlessness, drowsiness, fatigue, extrapyramidal reactions, lassitudeCV: transient GI: hypertensionnausea, diarrhea| To treat nausea and vomiting| Assessment: * Assess patient for any history of allergy to the drug * Assess the patient for of nausea and vomiting, bowel sounds and abdominal distentionAdministration: * Monitor the patients fluid and electrolytes * Closely monitor the patients’ vital signs * Monitor the patient for signs of extrapyramidal reactions Health Teaching: * Advice the patient not to use alcohol, sleep remedies or sedatives to prevent the occurrence of serious sedation * Inform the patient that he may experience drowsiness, restlessness, anxiety, depression, headache, insomnia. * Teach the patient to report to the occurrence of the involuntary movement of the face, eyes or limbs, severe dehydration and severe diarrhea| DRUG ORDER| BRAND NAME| PHARMACOLOGIC ACTIONS| INDICATIONS AND CONTRAINDICATIONS| ADVERSE EFFECT| DESIRED EFFECT| NURSING RESPONSIBILITIES| Ranitidine hydrochloride10mg IV every Q8 while NPOClassification:Histamine 2 antagonist| Zantac| Competitively inhibits the action of the histamine at the H2...
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