Metoclopromide Drug Study
Metoclopromide Drug Study
De Guzman
SECTION: NU-204
PURPOSE OF MEDICATION
Contraindications/Precautions
Interactions
Medication Administration
Available forms:
Injection: 5mg/ml
Oral solution: 5mg/5ml
Tablets: 5mg, 10 mg
Tablets (ODT’s): 5mg, 10 mg
Administration:
PO: Give drug every 30 minutes before each meal and at bed time when used for
gastroparesis and GERD.
PO (ODT):
- Give the drug at least 30 minutes before eating and at bed time.
- Give immediately after opening sealed blister. If tablet breaks or crumbles throw it
away and obtain a new one.
- Place tablet on patients tongue. Tell patient to let it melt approximately 1 minute
and then swallow.
IV:
- drug is compatible with D5, W, NSS for injection, dextrose 5% in half NSS, Ringer
injection and lactated Ringer Injection. NSS is the preferred diluent; drug is most
stable in the solution.
- Give doses of 10mg or less by direct injection over 1-2 minutes. diluete doses larger
than 10 mg in 50 ml of compatible diluent, and infuse over at least 15 minutes.
Monitor BP closely.
- There is no need to protect the drug from light if infusion of mixture is given within
24 hours. if protected from light and refrigerated, it’s stable for 48 hours.
- Incompatibilities: Cephalothin, Chloramphenicol, and Sodium Bicarbonate.
IM:
- Inspect For particulate matter and discoloration. If either is present don’t use.
- Inject into large muscle.
Nursing Interventions
Client Education
Instruct the patient to take ODT’s every 30 minutes before food and at bed time and not
to repeat dose if inadvertently taken with food.
Teach patient proper drug administration for prescribed formulation.
Tell patients to avoid activities that require alertness for 2 hours after doses.
Urge the patient to report persistent or serious adverse reactions promptly.
Teach patient signs and symptoms of tardive dyskinesia, other extrapyramidal signs and
symptoms, and NMS. Advise the patient to discontinue drug and to seek immediate
medical attention if such signs and symptoms occur.
Advise patient not to drink alcohol during therapy.