Gastrointestinal Stimulants Flashcards

1
Q

Medication

A

-Metoclopramide

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2
Q

Actions

A
  • Stimulate parasympathetic activity within the GI tract

- Increase GI secretions and motility

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3
Q

Indication

A
  • Rapid movement of GI contents is desirable

- Diabetic gastroparesis

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4
Q

Contraindications

A
  • Allergy

- GI obstruction

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5
Q

Caution

A

-Pregnancy/lactation

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6
Q

Adverse effects

A
  • GI: nausea, vomiting, diarrhea, intestinal spasms, crampings
  • CV: decreased BP and HR
  • Weakness and fatigue
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7
Q

Drug-drug

A
  • Digoxin
  • Cyclosporine
  • Alcohol
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8
Q

Assessment

A
  • History: Allergy, contraindications or cautions

- Physical: Intestinal obstruction, bleeding or perforation, cardiopulmonary status, VS, skin

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9
Q

Nursing diagnoses

A
  • Diarrhea
  • Acute pain
  • Deficient knowledge
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10
Q

Implementation

A
  • Administer at least 15 minutes before each meal and at bedtime
  • Monitor BP
  • Monitor diabetic patients
  • Pt teaching
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11
Q

Evaluation

A
  • Patient response
  • Effectiveness of teaching plan
  • Effectiveness of comfort measures
  • Compliance
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