Gastrointestinal Stimulants

Question 1

Gastrointestinal Stimulants Drug Names

Answer 1

Metoclopramide

Question 2

Gastrointestinal Stimulants Therapeutic Actions

Answer 2

• Stimulate parasympathetic activity within the GI tract

* Increase GI secretions and motility

Question 3

Gastrointestinal Stimulants Indications

Answer 3

• Rapid movement of GI contents is desirable

- Diabetic Gastroparesis

Question 4

Gastrointestinal Stimulants Contraindications and Cautions

Answer 4

Contraindications:
• Allergy
• GI obstruction

Caution:
Pregnancy and Lactation

Question 5

Gastrointestinal Stimulants DDI

Answer 5

DDI:
• Digoxin
• Cyclosporine
• Alcohol

Question 6

Gastrointestinal Stimulants Adverse Effects

Answer 6

• GI effects
• Nausea, vomiting, diarrhea, intestinal spasms, cramping
• CV effects
• decreased blood pressure and heart rate
• Weakness and fatigue

Question 7

Gastrointestinal Stimulants:

Assessment

Answer 7

Assess:
Hx: Allergy, lactation and pregnancy, GI obstruction
Physical: vital signs, GI obstruction, bleeding, perforation, cardiopulmonary status, skin (baseline)
Labs: monitor results

Question 8

Gastrointestinal Stimulants:

Diagnosis

Answer 8

Dx:

• Acute pain
• Diarrhea
• Deficient knowledge regarding drug therapy

Question 9

Gastrointestinal Stimulants:

Implementation

Answer 9

Implementation:
• Administer at least 15 minutes before each meal and at bedtime
• Monitor blood pressure carefully if giving the drug IV
• Monitor diabetic patients
• Provide thorough patient teaching

Question 10

Gastrointestinal Stimulants Evaluation

Answer 10

Eval:
Response to the drug 
Adverse effects
 Effectiveness of comfort measures
Compliance with regimen
Effectiveness of teaching plan