Meperidine (Demerol) Nursing Considerations

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Kara Tarr
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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

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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.

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Pharmacology

Concepts Covered:

  • Depressive Disorders
  • Medication Administration
  • Learning Pharmacology
  • Circulatory System
  • Upper GI Disorders
  • Concepts of Pharmacology
  • Studying
  • Test Taking Strategies
  • Tissues and Glands
  • Neurological
  • Pregnancy Risks
  • Emergency Care of the Cardiac Patient
  • Microbiology
  • Cardiac Disorders
  • Nervous System
  • Intraoperative Nursing
  • Central Nervous System Disorders – Brain
  • Immunological Disorders
  • Fundamentals of Emergency Nursing
  • Understanding Society
  • Gastrointestinal Disorders
  • Hematologic Disorders
  • Adulthood Growth and Development
  • Disorders of Pancreas
  • Respiratory Disorders
  • Postpartum Complications
  • Postoperative Nursing
  • Noninfectious Respiratory Disorder
  • Bipolar Disorders
  • Newborn Care
  • Psychotic Disorders
  • Anxiety Disorders
  • Vascular Disorders
  • Peripheral Nervous System Disorders
  • Prenatal Concepts
  • Substance Abuse Disorders

Study Plan Lessons

MAOIs
The SOCK Method – C
The SOCK Method – K
The SOCK Method – O
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method of Pharmacology 1 – Live Tutoring Archive
The SOCK Method of Pharmacology 2 – Live Tutoring Archive
The SOCK Method of Pharmacology 3 – Live Tutoring Archive
Selecting THE vein
Ranitidine (Zantac) Nursing Considerations
Pharmacology Course Introduction
Pharmacokinetics Nursing Mnemonic (ADME)
12 Points to Answering Pharmacology Questions
Tattoos IV Insertion
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
Mannitol (Osmitrol) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Adenosine (Adenocard) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Anti-Infective – Antifungals
Anti-Platelet Aggregate
Atropine (Atropen) Nursing Considerations
Barbiturates
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Combative: IV Insertion
Dark Skin: IV Insertion
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Drawing Blood from the IV
Epoetin Alfa
Geriatric: IV Insertion
Giving Medication Through An IV Set Port
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
IV Insertion Angle
IV Placement Start To Finish (How to Start an IV)
Ketorolac (Toradol) Nursing Considerations
Medication Errors
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Meds for Postpartum Hemorrhage (PPH)
Meperidine (Demerol) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Nalbuphine (Nubain) Nursing Considerations
NG Tube Med Administration (Nasogastric)
NG Tube Medication Administration
Parasympathomimetics (Cholinergics) Nursing Considerations
Pentobarbital (Nembutal) Nursing Considerations
Phytonadione (Vitamin K) for Newborn
Positioning
Propofol (Diprivan) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Sedatives-Hypnotics
Streptokinase (Streptase) Nursing Considerations
Tips & Advice for Newborns (Neonatal IV Insertion)
Tips & Advice for Pediatric IV
Understanding All The IV Set Ports
Verapamil (Calan) Nursing Considerations
Injectable Medications
Insulin
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin Drips
Insulin Mixing
Fentanyl (Duragesic) Nursing Considerations
Cyclosporine (Sandimmune) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Benztropine (Cogentin) Nursing Considerations
Bariatric: IV Insertion
Atenolol (Tenormin) Nursing Considerations
Antidepressants
Antianxiety Meds
Anesthetic Agents
Neostigmine (Prostigmin) Nursing Considerations
Opioid Analgesics in Pregnancy
Olanzapine (Zyprexa) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Pharmacodynamics
Pharmacokinetics
Phenobarbital (Luminal) Nursing Considerations
Procainamide (Pronestyl) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Interactive Pharmacology Practice
Hydromorphone (Dilaudid) Nursing Considerations
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydralazine
Eye Prophylaxis for Newborn