NCLEX Daily Practice Questions

NCLEX exam focus areas

MEPERIDINE

Meperidine pharmacology NCLEX

Meperidine pharmacology NCLEX

Meperidine also called Demerol

Mechanism of Action

Binds to opioid receptors in the brain and spinal cord to reduce pain perception.

Indications

Pain Management:
Moderate to severe pain, often in a perioperative or acute care setting.

Forms

• Oral tablets
• Injectable forms (IV,IM,SC)
• Forms

Side Effects

• Respiratory Depression
• Sedation
• Nausea and Vomiting
• Constipation
• Dizziness and Drowsiness
• Seizures (especially with high doses or prolonged use)
• Neurotoxicity (accumulation of normeperidine, a toxic metabolite)

Nursing Consideration

• Monitor for Respiratory Depression: Regularly check respiratory rate and oxygen saturation.
• Assess Pain Levels: Continuously evaluate the effectiveness of pain relief.
• Monitor for Sedation: Assess the patient’s level of consciousness and ability to stay awake.
• Gastrointestinal Effects: Monitor for constipation and provide interventions (e.g., stool softeners, increased fluid intake).
• Fall Risk: Implement safety measures to prevent falls due to dizziness and drowsiness.
• Monitor for Seizures: Be aware of the potential for seizures, particularly in patients with renal dysfunction or those on prolonged therapy.
• Allergic Reactions: Watch for any signs of allergic reactions such as rash, itching, or swelling

NCLEX Daily Practice Questions