Drug Study

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