What do you draw up first? LR or Demerol What do you draw up first? LR or Demerol | allnurses

What do you draw up first? LR or Demerol

  1. 0 I found some info similar to my question but I would like to clarify and/or seek advice on my situation. I work in an ambulatory surgery center and doesn't have NS vial or pre-filled NS syringe to dilute.

    Therefore, when I need to dilute Demerol, I usually draw up LR first from the beg which is running on the patient then, I change the needle to filter needle and draw up the Demerol.

    Is this accurate or it doesn't matter?

    My rational for drawing LR first is that I'm afraid Demerol could by chance get into LR beg. Am I thinking way too much? Advice please. Thanks!!
  2. 9 Comments

  3. Visit  MunoRN profile page
    #1 0
    Are you using demerol vials or carpujects?
  4. Visit  ILveNursing profile page
    #2 0
  5. Visit  MunoRN profile page
    #3 0
    Obviously first of all, be aware of your policies, but in general demerol doesn't require dilution. The FDA labeling does suggest dilution as a way of ensuring a slow infusion, although the same effect can be achieved by using a smaller volume syringe since the purpose of dilution for this reason is that there is a higher ratio of plunger movement to dose given. If you're pulling LR from a bag of running fluids, then infusing it into the same IV, you're sort of taking an extra unnecessary step since you could also dilute it to the same degree by pushing it slowly into the line.

    But yes, I'd agree that if you're going to pull fluids from the bag to dilute then you should pull the fluids first, then the drug.
  6. Visit  ILveNursing profile page
    #4 0
    Thanks MunoRN!
  7. Visit  Z71RN profile page
    #5 0
    I always dilute the Demerol, dose not matter if I'm giving it with an existing iv running or through a int. rationale is I've had iv Demerol before and it burned like fire up my arm. I dilute the Demerol in the syringe and turn the ivfs wide open for a few seconds (if feasible).
  8. Visit  Fiona59 profile page
    #6 0
    We never hang it, we inject it IM or sbq
  9. Visit  ILveNursing profile page
    #7 0
    I always dilute Demerol. Didn't know it burned. Thanks Z71RN.
  10. Visit  Katie71275 profile page
    #8 0
    I've always given it through the IV, but dilute it by pinching off the IVand pull from the bag if that makes sense then inject slowly(so rather than drawing directly from the bag I draw directly from the line and then push.
  11. Visit  ♪♫ in my ♥ profile page
    #9 0
    To get the most accuracy in pulling up the narc, I'd draw it in the smallest possible syringe and then inject it into a larger syringe that already has the fluid in it (most easily done with prefilled flushes but fine to pull it from a bag).