Hydromorphone (Dilaudid) Nursing Considerations

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Kara Tarr
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Study Tools For Hydromorphone (Dilaudid) Nursing Considerations

Drug Card Hydromorphone (Dilaudid) (Cheatsheet)
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Outline

Generic Name

hydromorphone

Trade Name

Dilaudid

Indication

moderate to severe pain

Action

alters the perception and reaction to pain by binding to opiate receptors in the CNS, also suppresses the cough reflex

Therapeutic Class

Opioid Analgesic, allergy, cold and cough remedies, antitussive

Pharmacologic Class

opioid agonist

Nursing Considerations

• Assess BP, respirations, and pulse before and during administration – medication causes general
CNS depression
• Narcan (nalaxone) is the antidote for overdose
• use caution with concurrent use of MAOI – avoid use within 14 days of each other
• may be used as an antitussive
• advised to dilute with NS prior to administration and to administer slowly to decrease CNS
depression

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Transcript

Hey guys, let’s talk about hydromorphone, also known as Daud. This is an injectable medication, as you can see here in the picture, and it also comes in an oral form. So the therapeutic class of a drug is how the drug and the body, while the pharmacologic class is the chemical effect. Hydromorphine therapeutic class is an opioid analgesic, an allergy cold and Caity, and also an antitussive. The pharmacologic class of hydromorphine is an opioid agonist. Hydromorphine works by altering the patient’s perception and, and reaction to pain by binding to opiate receptors in the central nervous system. It also suppresses the cough reflex hydromorphine Daud is used for the management of moderate to severe pain. Some of the side effects that we see with this drug or narcotics in general are hypotension, constipation, lightheadedness, or drowsiness. 

So when administering hydromorphone remember that this medication can cause CNS depression, which means that blood pressure pulse respirations should, would be assessed before, during and after administration. And when administering dilute with normal saline and administer slowly to decrease CNS depression, it is important to know that mais should not be used concurrently with this drug. In fact, the use of both of them should be avoided within 14 days of each other. In the event of an overdose Narcan should be given. Hydromorphone is also sometimes used as an antitussive at low doses. It is important to teach the patient that this medication is habit forming and they should use it exactly as directed. So guys Daud is among the most powerful or powerful oral opioid agonists. It is three to four times more powerful than oxycodone. Five times more powerful than morphine and 30 times more powerful than coding. That’s it for hydromorphine or Daud now go out and be your best self today. And as always happy nursing.

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Pharmy

Concepts Covered:

  • Adult
  • Medication Administration
  • Emergency Care of the Cardiac Patient
  • Cardiac Disorders
  • Anxiety Disorders
  • Depressive Disorders
  • Nervous System
  • Intraoperative Nursing
  • Gastrointestinal Disorders
  • Central Nervous System Disorders – Brain
  • Microbiology
  • Immunological Disorders
  • Circulatory System
  • Hematologic Disorders
  • Concepts of Pharmacology
  • Studying
  • Disorders of Pancreas
  • Respiratory Disorders
  • Vascular Disorders
  • Postoperative Nursing
  • Pregnancy Risks
  • Neurological
  • Postpartum Complications
  • Substance Abuse Disorders
  • Upper GI Disorders
  • Noninfectious Respiratory Disorder
  • Bipolar Disorders
  • Prenatal Concepts
  • Learning Pharmacology
  • Newborn Care

Study Plan Lessons

ACLS (Advanced cardiac life support) Drugs
Adenosine (Adenocard) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Anti-Platelet Aggregate
Antianxiety Meds
Antidepressants
Atropine (Atropen) Nursing Considerations
Barbiturates
Bisacodyl (Dulcolax) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Drawing Blood from the IV
Drawing Up Meds
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Epoetin Alfa
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Fentanyl (Duragesic) Nursing Considerations
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Hanging an IV Piggyback
How to Secure an IV (chevron, transparent dressing)
How to Remove (discontinue) an IV
Insulin
Hydralazine
Hydromorphone (Dilaudid) Nursing Considerations
Insulin Drips
Insulin Mixing
Interactive Pharmacology Practice
Interactive Practice Drip Calculations
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
IV Catheter Selection (gauge, color)
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
IV Drip Administration & Safety Checks
IV Drip Therapy – Medications Used for Drips
IV Pump Management
IV Push Medications
Ketorolac (Toradol) Nursing Considerations
Lidocaine (Xylocaine) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Mannitol (Osmitrol) Nursing Considerations
MAOIs
Meds for Postpartum Hemorrhage (PPH)
Meperidine (Demerol) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Nalbuphine (Nubain) Nursing Considerations
NG Tube Medication Administration
NG Tube Med Administration (Nasogastric)
Nitro Compounds
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Nystatin (Mycostatin) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Parasympathomimetics (Cholinergics) Nursing Considerations
Patient Controlled Analgesia (PCA)
Pentobarbital (Nembutal) Nursing Considerations
Pharmacodynamics
Pharmacokinetics
Pharmacokinetics Nursing Mnemonic (ADME)
Phenobarbital (Luminal) Nursing Considerations
Procainamide (Pronestyl) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Spiking & Priming IV Bags
Starting an IV
Streptokinase (Streptase) Nursing Considerations
SubQ Injections
The SOCK Method – Overview
Tips & Tricks
Tips & Advice for Pediatric IV
Tips & Advice for Newborns (Neonatal IV Insertion)
Understanding All The IV Set Ports
Using Aseptic Technique
Verapamil (Calan) Nursing Considerations