Gastrointestinal Stimulants Flashcards
1
Q
Medication
A
-Metoclopramide
2
Q
Actions
A
- Stimulate parasympathetic activity within the GI tract
- Increase GI secretions and motility
3
Q
Indication
A
- Rapid movement of GI contents is desirable
- Diabetic gastroparesis
4
Q
Contraindications
A
- Allergy
- GI obstruction
5
Q
Caution
A
-Pregnancy/lactation
6
Q
Adverse effects
A
- GI: nausea, vomiting, diarrhea, intestinal spasms, crampings
- CV: decreased BP and HR
- Weakness and fatigue
7
Q
Drug-drug
A
- Digoxin
- Cyclosporine
- Alcohol
8
Q
Assessment
A
- History: Allergy, contraindications or cautions
- Physical: Intestinal obstruction, bleeding or perforation, cardiopulmonary status, VS, skin
9
Q
Nursing diagnoses
A
- Diarrhea
- Acute pain
- Deficient knowledge
10
Q
Implementation
A
- Administer at least 15 minutes before each meal and at bedtime
- Monitor BP
- Monitor diabetic patients
- Pt teaching
11
Q
Evaluation
A
- Patient response
- Effectiveness of teaching plan
- Effectiveness of comfort measures
- Compliance