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Hydromorphone Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses

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Hydromorphone trade name dilaudid is a medication used for moderate to severe pain his therapeutic classes opioid analgesic and his pharmacologic classes opioid agonist this medication what it does it really alters the perception and reaction to pain by binding to opiate receptors in the cns it’s significantly stronger than morphine so like one and a half milligrams

Of dilaudid equivalent to about ten milligrams of morphine so the medication we’re gonna use when our patient is really having a hard time controlling their pain and we need to keep this in mind as well that we’re you’re monitoring how much the patient is getting because the cns depression that can occur from dilaudid is going to be that much greater as well so

We really want to assess our bp our respirations and our pulse before administration and deering and make sure that we’re really monitoring how is our patient responding to this medication and is it causing any sort of depression that is that is too great we want to help with the pain but we don’t want the patient to go into any sort of cns depression now with

Hydromorphone it’s advised that we dilute it within us prior to administration and that we administer very slowly v iv so what you would do is you could do like a 1 to 1 if you’re doing 1 milligram of the lotted you would draw one milligram of ns and one milligram of dilaudid and then administer that very slowly to our patient to avoid and to decrease some of

This cns depression that’s going to occur now as with all of our opioids the antidote for this is narcan so if we do give it to our patient and all of a sudden we realize hey they’re not waking up or they’re not breathing well or whatever we would give them narcan and that that would be the antidote that we’re gonna have so what you really want to do when you give

Patients in this where you put them on a drip or you put them on a pain pump you really want to make sure that you have narcan available know where it is know that you have it and know how to get access to it ok because once the patient’s cns does deplete to the point that you need narcan you need it very quickly it’s something we need to get access to very quickly

And be able to provide the patient as quickly as you can so those really the basics of dilaudid it’s an important medication to keep in mind because you are going to give it often and you are going to see it quite a bit during your time as a nurse on the floor this has been another episode of the med master podcast by n r s ng com to get our free cheat sheet cover

The 50 most commonly prescribed medications head over to our sng calm / 15 meds that’s in our sng calm / 50 meds thank you so much for joining me today and thank you for being part of the nrs ng family we’re here to help you succeed in nursing school and in life so start your journey today over at nrs ng comm / 50 meds we’re glad to have you aboard you know what

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Hydromorphone Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses By NURSINGcom