NURS 2466 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Classification Dose Route Time/frequency

Meperidine Name Opioid analgesics 25 mg/1 mL IVP Q 2hrs PRN pain
Demerol
Peak Onset Duration Normal dosage range
5-7 minutes immediate 2-3 hrs 50-150 mg q3-4 hr. prn pain

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Pain r/t bowel obstruction 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 Nursing Implications (what to focus on)

(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
Contraindications/warnings/interactions
.Use cautiously in severe hepatic disease
Common side effects
Confusion, sedation, hypotension, constipation, nausea,
vomiting

Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically)
Increased sedative activity with other CNS
depressants.
Nursing Process- Assessment
(Pre-administration assessment)
Assess type, location, intensity of pain
and vitals before administration.
Lab value alterations caused by medicine
Can cause increased serum amylase and lipase
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