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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pharm

Concepts Covered:

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

Study Plan Lessons

Adenosine (Adenocard) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Atenolol (Tenormin) Nursing Considerations
Atropine (Atropen) Nursing Considerations
Benztropine (Cogentin) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Cyclosporine (Sandimmune) Nursing Considerations
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Drawing Blood from the IV
Drawing Up Meds
Fentanyl (Duragesic) Nursing Considerations
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydromorphone (Dilaudid) Nursing Considerations
Insulin
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin Drips
Insulin Mixing
IV Catheter Selection (gauge, color)
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
IV Drip Administration & Safety Checks
IV Insertion Angle
IV Placement Start To Finish (How to Start an IV)
IV Pump Management
IV Push Medications
Ketorolac (Toradol) Nursing Considerations
Lidocaine (Xylocaine) Nursing Considerations
Maintenance of the IV
Mannitol (Osmitrol) Nursing Considerations
MAOIs
Medications in Ampules
Meperidine (Demerol) Nursing Considerations
Meds for Postpartum Hemorrhage (PPH)
Methadone (Methadose) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Nalbuphine (Nubain) Nursing Considerations
Neostigmine (Prostigmin) Nursing Considerations
NG Tube Med Administration (Nasogastric)
NG Tube Medication Administration
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
Nystatin (Mycostatin) Nursing Considerations
Olanzapine (Zyprexa) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Pain Management Meds – Live Tutoring Archive
Parasympathomimetics (Cholinergics) Nursing Considerations
Patient Controlled Analgesia (PCA)
Pentobarbital (Nembutal) Nursing Considerations
Pharmacokinetics Nursing Mnemonic (ADME)
Phenobarbital (Luminal) Nursing Considerations
Positioning
Procainamide (Pronestyl) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Ranitidine (Zantac) Nursing Considerations
Spiking & Priming IV Bags
Starting an IV
Streptokinase (Streptase) Nursing Considerations
Supplies Needed
The SOCK Method – C
The SOCK Method – K
The SOCK Method – O
The SOCK Method – S
The SOCK Method – Overview
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
Verapamil (Calan) Nursing Considerations
Magnesium Sulfate
IV Drip Therapy – Medications Used for Drips
IM Injections
How to Remove (discontinue) an IV
How to Secure an IV (chevron, transparent dressing)
Geriatric: IV Insertion
Giving Medication Through An IV Set Port
Combative: IV Insertion