A nurse is caring for a 62-year-old client with diabetes who has a new prescription for metoclopramide (Reglan). Which of the following statements is true regarding metoclopramide (Reglan)? (Select All That Apply.)
Explanation & Rationale
A. "Complications of this medication include tardive dyskinesia and prolonged QT interval." This is correct. Metoclopramide (Reglan) can cause side effects such as tardive dyskinesia, a movement disorder, and may prolong the QT interval, which can increase the risk of arrhythmias. B. "The IV form of this medication is used for control of postoperative and chemotherapy-induced nausea and vomiting, as well as facilitation of small bowel intubation and examination of the GI tract." This is correct. The IV form of metoclopramide is commonly used for these indications, particularly for nausea and vomiting related to chemotherapy or surgery, as well as aiding in small bowel intubation. C. "Complications of this medication include tardive dyskinesia and sedation." This is correct. In addition to tardive dyskinesia, metoclopramide can also cause sedation, making patients feel drowsy or lethargic. D. "The oral form is used for diabetic gastroparesis (delayed stomach emptying with gas and bloating) and management of GERD through its ability to increase gastric motility." This is correct. The oral form of metoclopramide is frequently used to treat diabetic gastroparesis by improving gastric emptying, as well as managing gastroesophageal reflux disease (GERD) by enhancing motility.