Metoclopramide (Reglan) Nursing Considerations

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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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