A patient is scheduled for surgery in 2 hours. The physician orders preoperative medications glycopyrrolate (Robinul) 1 mg and meperidine (Demerol) 50 mg intramuscularly
The nurse would hold the medication and consult the provider if the patient had what disorder? A) Tachycardia
B) Paralytic ileus
C) Hypertension
D) Diabetes mellitus
B
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These drugs are also contraindicated with any condition that could be exacerbated by blockade of the parasympathetic nervous system. These conditions include stenosing peptic ulcer, intestinal atony, paralytic ileus, gastrointestinal (GI) obstruction, severe ulcerative colitis, and toxic megacolon, all of which could be exacerbated with a further slowing of GI activity. Tachycardia, hypertension, and diabetes would not be contraindications to administration of glycopyrrolate.
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