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Drugstudy Bacalla
Drugstudy Bacalla
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In Partial Fulfillment of
The Requirements NCM 212-RLE
Cancer and Immunology Nursing Rotation
By
December 3, 2020
BRAND NAME: Demerol
MODE OF ACTION:
INDICATION:
SIDE EFFECTS:
ADVERSE EFFECT:
DRUG INTERACTION:
NURSING RESPONSIBILITIES
Be alert for new seizures or increased seizure activity, especially at the onset of
drug treatment. Document the number, duration, and severity of seizures, and
report these findings immediately to the physician
Assess symptoms of respiratory depression, including decreased respiratory rate,
confusion, bluish color of the skin and mucous membranes (cyanosis), and
difficult, labored breathing (dyspnea).
Monitor pulse oximetry and perform pulmonary function tests to quantify
suspected changes in ventilation and respiratory function. Excessive respiratory
depression requires emergency care.
Be alert for excessive sedation or changes in mood and behavior (euphoria,
dysphoria, confusion, hallucinations). Notify physician immediately if patient is
unconscious or extremely difficult to arouse.
Use appropriate pain scales (visual analogue scales, others) to document
whether this drug is successful in helping manage the patient's pain.
Implement appropriate manual therapy techniques, physical agents, and
therapeutic exercises to reduce pain and help wean patient off opioid analgesics
as soon as possible.
Help patient explore other non-pharmacologic methods to reduce chronic pain,
such as relaxation techniques, exercise, counseling, and so forth.
Assess blood pressure periodically and compare to normal values. report low
blood pressure (hypotension), especially if patient experiences dizziness, fainting,
or other symptoms.
Implement fall prevention strategies especially if patient exhibits sedation,
dizziness, or blurred vision.
Reduce dosage of meperidine by 25%–50% in patients receiving phenothiazine
or other tranquilizers.
References:
• Hodgson, K.J. and Kizior, R.J. (2014). Saunders Nursing Drug Handbook 2014.
St. Louis Missouri:Elsevier Inc.
• Davis, F.A.(n.d). Meperidine. Retrieved November 30,2020 from
https://fadavispt.mhmedical.com/content.aspx?
bookid=1873§ionid=139017143
• RNpedia(n.d). meperidine hydrochloride (pethidine) Nursing Considerations &
Management. Retrieved November 30,2020 from
https://www.rnpedia.com/nursing-notes/pharmacology-drug-study-
notes/meperidine-hydrochloride-pethidine/