Demerol

Question 1

Action & uses of Demerol

Answer 1

Binds to opioid receptors within CNS, alters pain perception, emotional response to pain.
Treatment for moderate to severe pain, reduces post op shivering, reduces rigors from amphotercin

Question 2

Dose for Demerol

Answer 2

50-75 mg q 3-4h PRN

Question 3

Side effects of Demerol

Answer 3

Sedation, dizziness, drowsiness, N & V, constipation, diaphoresis, facial flushing

Question 4

Contraindications of Demerol

Answer 4

Use of MAOI’s (antidepressant) within 14 days

Question 5

Absorption of Demerol

Answer 5

Absorbed- circulatory system
Metabolized- liver
Excreted- urine

Question 6

Nursing interventions for Demerol

Answer 6

Pt needs to be in recumbent position b4 drug is given
Assess onset, location, type, duration of pain
Obtain VS (RR, B/P) 15-30 minutes after injection
RR less than 12, withhold Rx contact MD
Check for output

Question 7

Teaching Demerol

Answer 7

Discomfort may occur with injection
Change positions slowly
Increase fluids to prevent constipation
Avoid alcohol or CNS depressants

Administer IM slowly

Question 8

Classification of Demerol

Answer 8

Narcotic agonist
Opiate analgesic
(schedule II)