Meperidine (Demerol) Nursing Considerations
Included In This Lesson
Study Tools For Meperidine (Demerol) Nursing Considerations
Outline
Generic Name
meperidine
Trade Name
Demerol
Indication
moderate to severe pain, sedation
Action
Binds to opiate receptors in the CNS and alters perception of pain while producing a general depression of the CNS.
Therapeutic Class
Opioid Analgesic
Pharmacologic Class
opioid agonists
Nursing Considerations
• may cause alterations in mentation, hypotension, constipation, nausea, vomiting
• assess BP, pulse, and respiratory rate prior to administration and frequently during
administration
• use caution if patient is receiving MAOIs
• Narcan (naloxone) is the antidote for opioid agonists
• can cause seizure
• may increase pancreatic enzyme levels
• assess bowel function
Transcript
Hey guys, let’s talk about, meperidine also known as Erol. This is an oral medication, as you can see here with the pictures of the pills, and it also comes in other forms like an injectable. So the therapeutic class of meperidine is an opioid analgesic. And remember, this is how the drug works in the body. And the pharmacologic class is an opioid agonist. And remember, this is the chemical effect of the drug. So meperidine works by binding to opiate receptors in the central nervous system. It all pain perception, and it also produces general depression of the central nervous system. We use meperidine for moderate to severe pain and also for sedation purposes.
So remember meone works by depressing the central nervous system. So with that, we can see things like hypotension. Also, we see some GI issues like nausea, vomiting, and constipation, which is common with opioids. So some of the nursing considerations form a Perine. It may cause alterations in augmentation seizures and also increase pancreatic enzyme levels. So before and during administration, you absolutely want to assess your patient’s blood pressure, their pulse and their respiratory rate. And also during treatment, you’re going to want to assess their bowel function because remember meperidine can cause constipation also guys use caution in patients who are also on a O eyes and in the event of an overdose, the, an, the antidote or reversal agent is Narcan. It is important to teach the patient to take this medication exactly as directed and to report side effects to their provider. So guys, I work in surgery in where I work. We sometimes use meperidine for postoperative shivering in low doses. So that’s it for meperidine or Demerol now go out and be your best self today. And as always happy nursing.
all lessons medsurg
Concepts Covered:
- Cardiac Disorders
- Cardiovascular
- Emergency Care of the Cardiac Patient
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Lower GI Disorders
- Central Nervous System Disorders – Brain
- Neurological
- Noninfectious Respiratory Disorder
- Respiratory
- Hematologic Disorders
- Delegation
- Perioperative Nursing Roles
- Acute & Chronic Renal Disorders
- Respiratory Emergencies
- Disorders of the Adrenal Gland
- Documentation and Communication
- Preoperative Nursing
- Legal and Ethical Issues
- Factors Influencing Community Health
- Immunological Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Cognitive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Medication Administration
- Vascular Disorders
- Renal Disorders
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Gastrointestinal Disorders
- Newborn Complications
- Peripheral Nervous System Disorders
- Studying
- Integumentary Disorders
- Communication
- Microbiology
- Emergency Care of the Trauma Patient
- Urinary Disorders
- Integumentary Disorders
- Musculoskeletal Disorders
- Circulatory System
- EENT Disorders
- Postoperative Nursing
- Neurological Emergencies
- Disorders of Thermoregulation
- Neurological Trauma
- Basics of NCLEX
- Fundamentals of Emergency Nursing
- Integumentary Important Points
- Multisystem
- Test Taking Strategies
- Tissues and Glands
- Urinary System
- Emergency Care of the Neurological Patient
- Neurologic and Cognitive Disorders
- Central Nervous System Disorders – Spinal Cord
- Renal and Urinary Disorders
- Nervous System
- Respiratory Disorders
- Respiratory System
- Infectious Disease Disorders
- EENT Disorders
- Emergency Care of the Respiratory Patient