Chapter 52: Anti-Emetic Test, Pharmacology for Nurses: Practical Applications
The key terms in this Pharmacology course include Anti-Emetic Test, Nurse, Metoclopramide, Prokinetic Drugs, Serotonin Blockers, Ondansetron (Zofran), Patient, Neuroleptic Drugs, Chlorpromazine (Thorazine), Anticholinergic Drugs, Pharmacology for Nurses: Practical Applications
A patient is receiving a tube feeding through a gastrostomy. The nurse expects that which type of drug will be used to promote gastric emptying for this patient?
Prokinetic drugs, such as metoclopramide (Reglan)
Serotonin blockers, such as ondansetron (Zofran)
Neuroleptic drugs, such as chlorpromazine (Thorazine)
Anticholinergic drugs, such as scopolamine (Transderm-Scop)
Prokinetic drugs promote the movement of substances through the gastrointestinal tract and increase gastrointestinal motility.
A patient who has severe nausea and vomiting following a case of food poisoning comes to the urgent care center. When reviewing his medication history, the nurse notes that he has an allergy to procaine. The nurse would question an order for which antiemetic drug if ordered for this patient?
Promethazine (Phenergan)
Phosphorated carbohydrate solution (Emetrol)
Metoclopramide (Reglan)
Palonosetron (Aloxi)
The use of metoclopramide (Reglan) is contraindicated in patients with a hypersensitivity to procaine or procainamide. There are no known interactions with the drugs listed in the other options.
The order reads : ” Give promethazine ( Phenergan ) 12.5 mg IM q 4 hr prn nausea/vomiting.” The medication is available in 25-mg/ml vials. How many milliliters will the nurse draw up for the dose ?`
a. 0.15 ml
b. 0.5 ml
c. 0.8 ml
d. 1.0 ml
A middle – aged woman is experiencing severe vertigo associated with motion sickness. The nurse expects that this patient will receive which drug ?
a. dronabinol ( Marinol )
b. metoclopramide ( Reglan )
c. meclizine ( Antivert )
d. prochlorperazine ( Compazine )
When reviewing the drugs uses for nausea and vomiting, the nurse recalls that which drug is a synthetic derivative of the major active substance in marijuana?
a. Ondansetron
b. Dronabinol
c. Prochlorperazine
d. Metoclopramide