dopamine Antagonist

which med is a seratonin antagonist and what is it used for

metoclopramide - nausa and vomiting

A nurse is caring for a client who has nausea and a prescription for metoclopramide. The client asks the nurse how metoclopramide will relieve her nausea (EA). Which of the following explanations should the nurse provide?

a) The medication relieves nausea by promoting gastric emptying

b)The medication works by decreasing gastric acid secretions

c)The medication relieves nausea by slowing peristalsis

d)The medication works by relaxing gastric muscles

a) they inhibit dopamine and seratonin (which normally slows the GI system) which promotes gastric motility which empties the stomach

The patient understands that the following symptoms are due to the tardive dyskinesia (extra pyramidal symptoms)?

a) tongue movement

b) fever

c) lip smacking

d) high HR

e) puffing of the cheeks

f) excessive eye blinking

g) urinary retentions

h) face jerking

a,c,e,f,h

tardive dyskinesia is abnormal facial movements which MUST be reported

which of the following is a neuroeptic mallignant syndrom s/s? (SATA

a) high HR

b) low bP

c) muscle rigidity

d) fever

a,c,d

high HR fever, and rigid muscles are all NMS symptoms which MUST be reported

When providing client education regarding the side effects of dopamine antagonists, the nurse would want to include all of the following statements except:

a) "Change positions slowly"

b) "Do not take prior to driving or using heavy machinery"

c)"Limit to alcohol consumption to one drink per day"

d)"Report any involuntary moviments, facial spasms, lip smacking, or increased restlessness to your provider'"

e) increase your fluid intake

c - no alcohol or CNS depressants

no activities that require mental alterness

increase fluid intake

which is a condition that is a Contraindication for Metoclopramide

a) bowel obstruction

b) pregnancy

c) diabetes

d) hyperthyroidism

a - never give it to someone with a bowel obstruction. It could make it worse

which interventions by the student nurse is appropriate for a pt on metoclopramide (SATA)

a) assessing bowel sounds

b) giving it to someone w a suspected bowel obstruction

c) stoping and notifiying the provider is they assess for tardive dyskinesia or NMS

d) decreasing fluids

a, c

nuring interventiosn include monitoring bowel sounds, and report severe ADR. Not for BO patients