Nonphenothiazines

Question 1

Nonphenothiazines Drug Names

Answer 1

Metoclopramide

Question 2

Nonphenothiazines Therapeutic Actions

Answer 2

• Acts to reduce the responsiveness of the nerve cells in the CTZ to circulating chemicals that induce vomiting

Question 3

Nonphenothiazines Indications

Answer 3

• Prevention of nausea and vomiting

- Mostly used for chemo and post-op

Question 4

Nonphenothiazines Adverse Effects

Answer 4

• CNS: Drowsiness, fatigue, restlessness

* Extrapyramidal symptoms: dystonia, akathisia, dyskinesias, parkinsonism

Question 5

Nonphenothiazines:

Assessment

Answer 5

Hx: Allergy, pregnancy and lactation, impaired renal or hepatic function, active peptic ulcer disease, assess complaints of nausea
Physical: vital signs, orientation, affect, reflexes; coma, semiconscious state, CV status, assess abdomen and evaluate emesis; note color, amount and frequency of vomiting episodes (baseline)
Labs: monitor results

Question 6

Nonphenothiazines:

Diagnosis

Answer 6

• Acute pain
• Risk for injury
• Decreased cardiac output
• Deficient knowledge regarding drug therapy

Question 7

Nonphenothiazines:

Implementation

Answer 7

• Assure that the route of administration is appropriate
• Assess the patient carefully for any potential drug–drug interactions
• Provide other measures to help the patient cope with the discomfort of nausea and vomiting and drug effects
• Provide thorough patient teaching

Question 8

Nonphenothiazines:

Evaluation

Answer 8

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