Published
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.
ILveNursing
26 Posts
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!!