Hydromorphone

Question 0

Hydromorphone dose

Answer 0

1 to 2 mg IV or IM Q4-6 hours

Question 1

Hydromorphone tradename and class

Answer 1

Dilaudid
Opioid agonist
Antidote is narcan .4 to 2 mg

Question 2

Hydromorphone indications

Answer 2

Moderate to severe pain

Question 3

Hydromorphone physiologic action

Answer 3

Binds to opiate receptors in the central nervous system altering the perception of, and response to painful stimuli. Also produces generalized CNS depression and suppresses the cough reflex

Question 4

Hydromorphone side effects

Answer 4

Hypotension
Confusion
sedation 
dizziness
constipation

Question 5

Hydromorphone nursing implications

Answer 5

Assess blood pressure, pulse, and respirations prior to and after administration of med
Assess bowel function routinely; implement constipation prevention with increased intake of fluids and bulk
Assess pain
May increase amylase and lipase

Question 6

Hydromorphone teaching

Answer 6

Change positions slowly to minimize orthostatic hypotension
Avoid alcohol and other CNS depressants
TCDB every two hours to avoid atelectasis
Emphasize importance of constipation prevention

Question 7

Hydromorphone contraindications

Answer 7

Paralytic ileus
respiratory depression
hypersensitivity