Chapter III – IMPLEMENTATION

A. Medical Management

Drug Classification Doe, Route, Mechanism of action Contradiction Side Nursing

Frequency effects Responsibilities

Fever, Tell patient to avoid

METACLOPARAMIDE Antiemetics 10-20mg, Stimulates motility of Contraindicated in headache, activities that require
P.O., upper GI tract patient’s dizziness alertness for 2 hours
30 mins. Increase lower hypersensitivity to after dose.
esophageal sphincter drug & in those
Generic Name: PLASIL tone & blocks with Stay with the patient
dopamine receptors pheochromocytom while drinking the
at the chemoreceptor a or seizure drug
trigger zone disorders.

Contraindicated in
patient’s whom
stimulation of GI
motility might be
dangerous
 Drug Classificatio Doe, Mechanism of Contradiction Side effects Nursing
n Route, action Responsibilities
Frequenc
y

Ranitidine Anti-ulcer 150 mg, Competitively Contraindicated Dry mouth, Instruct patient on proper use
drugs P.O b.i.d inhibits action in patient headache, of OTC preparation as
of histamine hypersensitive vomiting, indicated
Or 300mg on the H2 at to drug & those nausea
Generic name: Zantac daily at receptor sites with acute
bedtime of parietal porphyna
cells,
decreasingly Use cautiously
gastric acid in patients with
secretion. hepatic
dysfunction.
Adjust dosage
in patients with
impaired renal
function
 Drug Classificatio Doe, Mechanism of Contradiction Side Nursing
n Route, action effects Responsibilities
Frequenc
y

H NBB

Generic brand: Buscopan

Drug Classificatio Doe, Mechanism of Contradiction Side Nursing
n Route, action effects Responsibilities
Frequenc
y