A laboring woman received an opioid agonist (meperidine)intravenously 90 minutes before she gave birth.Which medication should be available to reduce the postnatal effects of Demerol on the neonate?

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An opioid antagonist can be given to the newborn as one part of the treatment for neonatal narcosis,which is a state of central nervous system (CNS)depression in the newborn produced by an opioid.Opioid antagonists such as naloxone (Narcan)can promptly reverse the CNS depressant effects,especially respiratory depression.Fentanyl,promethazine,and nalbuphine do not act as opioid antagonists to reduce the postnatal effects of Demerol on the neonate.Although meperidine (Demerol)is a low-cost medication and readily available,the use of Demerol in labor has been controversial because of its effects on the neonate.

A Laboring Woman Received an Opioid Agonist (Meperidine)intravenously 90 Minutes