A 78-year-old man with Parkinson's disease, CKD stage 3b, and mild cognitive impairment is admitted for an elective hernia repair. Post-operatively, t...

Question

A 78-year-old man with Parkinson's disease, CKD stage 3b, and mild cognitive impairment is admitted for an elective hernia repair. Post-operatively, the surgical team prescribes Metoclopramide for nausea. Why is this prescription concerning?

Accepted Answer

Metoclopramide is a dopamine receptor antagonist and will worsen Parkinsonian symptoms

Answer

Metoclopramide interacts with anaesthetic agents

Answer

Metoclopramide is nephrotoxic

Answer

Metoclopramide causes QT prolongation in all patients

Answer

Metoclopramide is only available intravenously

uk-dgm MCQ (SBA): Metoclopramide Avoidance in Parkinson's Disease

A 78-year-old man with Parkinson's disease, CKD stage 3b, and mild cognitive impairment is admitted for an elective hernia repair. Post-operatively, the surgical team prescribes Metoclopramide for nausea. Why is this prescription concerning?