A client is receiving meperidine hydrochloride (Demerol) for pain. Which of the following are side effects of this medication? Select all that apply.

Meperidine hydrochloride, commonly known as Demerol, is an opioid analgesic used for the relief of moderate to severe pain. One notable side effect associated with the use of Demerol is the potential for tremors. This reaction can occur particularly with higher doses or prolonged use, possibly due to the accumulation of its metabolite, normeperidine, which is known to have neurotoxic effects. Tremors can indicate central nervous system stimulation, an adverse effect that clinicians must monitor, especially if other symptoms such as seizures occur.

Drowsiness is also a well-known side effect of meperidine; however, it wasn't identified in the selected answer. Hypotension can occur, but again, it may not have been chosen in this specific response. It's important to recognize that while these side effects can occur with meperidine, tremors are often highlighted in educational materials and assessments as a key effect due to their potential significance in patient management.

When considering the complete profile of meperidine, it is crucial to be aware of all possible side effects to ensure patient safety and effective pain management strategies.