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| A | B |
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| Trade name | Reglan |
| Generic name | metoclopramide |
| Use | Decrease nausea and decrease symptoms of gastric stasis. Management of GERD, treatment of postop surgery. |
| Contraindications | Possible GI obstruction or hemorrhage. Hx of seizures disorders, pheochromocytoma, Parkinson's disease. Use caution in OB, lactation, pedi, & geri. |
| Side Effects | drowsiness, extrapyramidal reaction, restlessness, neuroleptic malignant syndrome arrhythmias, hypertension, methemoglobinemia, newtropenia, leukopenia,agranulocytosis. |
| Interactions | depressions with any other a CNS depressants. (alcohol, antidepressants, anthistamines, opiod analgesics and sedative/hypotics. |
| Dosage | PO 10-15mg 30min before meals and at bedtime. |
| Nursing Implication | Assess for N/V abdominal distention and after administration. Monitor for neuroleptic. Malignant sydrome(hyperthermia, muscle rigidity, altered consciouness, irregular pulse, bp, tachycardia, and diaphoresis. Administer 30min before meals. |
| Patient Teaching | Take as prescribed if you miss dose take as prescribed. Do not double dose. May cause drowsiness. Avoid alcohol and other CNS depressants. Notify MD immediately of involuntary or repetitive movement of eye, face, or limbs occur. |
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