What should the nurse do regarding the order for Meperidine 1 ml I.M. stat?

In this scenario, clarifying the order with the physician is essential because Meperidine has specific dosing guidelines and potential safety concerns. Various factors are important to consider, such as the patient’s age, weight, medical history, and current medications, as they can significantly influence the appropriateness of the ordered dose.

Additionally, Meperidine has a risk of toxicity, especially with long-term use or in certain populations, like the elderly or those with renal impairment, where accumulation of the drug can occur. If the order is unclear, potentially incorrect, or raises any safety concerns, clarifying it ensures that the patient receives the appropriate and safe medication dose.

Administering the medication as ordered without clarification could lead to adverse effects or ineffective pain management if the dose is inappropriate. Adjusting the dosage based on previous experience is unprofessional and unsafe, as it bypasses established protocols and holds the risk of harming the patient. Requesting additional orders might not directly address the need for clarification about the specific order provided.

Therefore, reaching out to the physician to confirm or adjust the order is the most responsible action in ensuring patient safety and optimal care.