Demerol

NURS 2466 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Meperidine Peak 5-7 minutes

Trade Name Demerol Onset immediate

Classification Opioid analgesics Duration 2-3 hrs

Dose 25 mg/1 mL

Route IVP

Time/frequency Q 2hrs PRN pain

Normal dosage range 50-150 mg q3-4 hr. prn pain

Why is your patient getting this medication Pain r/t bowel obstruction

For IV meds, compatibility with IV drips and/or solutions Dilute to a concentration of 10 mg/ml with sterile water or NS; administer slowly over at least 5 min.

Mechanism of action and indications (Why med ordered) Binds to opiate receptors in the CNS. Alters the perception of and response to painful stimuli, while producing generalized CNS depression. Indicated for moderate to severe pain

Nursing Implications (what to focus on) Contraindications/warnings/interactions .Use cautiously in severe hepatic disease

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Increased sedative activity with other CNS depressants.

Lab value alterations caused by medicine Can cause increased serum amylase and lipase

Nursing Process- Assessment (Pre-administration assessment) Assess type, location, intensity of pain and vitals before administration.

Common side effects Confusion, sedation, hypotension, constipation, nausea, vomiting

Be sure to teach the patient the following about this medication May cause drowsiness or dizziness. Advise patient to call for assistance when ambulating, Advise patient to change positions slowly to minimize orthostatic hypotension, Encourage patient to turn, cough, and breathe deeply every 2 hr to prevent atelectasis Assessment Evaluation Why would you hold or not give this Check after giving med? Re-assess type, location, and Would hold if pain is at acceptable intensity of pain. Continually level or if respirations were less than monitor respirations, bp, and 10. pulse for excessive CNS depression which would be evident by respirations less than 10 per minute, pulse less than 60. Check orthostatic hypertention. Monitor for delirium and normeperidine toxicity which would be evident by CNS stimulation