Hydromorphone (Dilaudid) Nursing Considerations

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Kara Tarr
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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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Concepts Covered:

  • Emergency Care of the Cardiac Patient
  • Medication Administration
  • Vascular Disorders
  • Nervous System
  • Central Nervous System Disorders – Brain
  • Gastrointestinal Disorders
  • Anxiety Disorders
  • Microbiology
  • Immunological Disorders
  • Concepts of Pharmacology
  • Studying
  • Circulatory System
  • Intraoperative Nursing
  • Disorders of Pancreas
  • Respiratory Disorders
  • Postoperative Nursing
  • Neurological
  • Depressive Disorders
  • Postpartum Complications
  • Substance Abuse Disorders
  • Upper GI Disorders
  • Noninfectious Respiratory Disorder
  • Bipolar Disorders
  • Peripheral Nervous System Disorders
  • Learning Pharmacology
  • Psychotic Disorders
  • Adulthood Growth and Development
  • Cardiac Disorders
  • Pregnancy Risks
  • Fundamentals of Emergency Nursing

Study Plan Lessons

Adenosine (Adenocard) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Atenolol (Tenormin) Nursing Considerations
Atropine (Atropen) Nursing Considerations
Benztropine (Cogentin) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Cyclosporine (Sandimmune) Nursing Considerations
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Drawing Blood from the IV
Drawing Up Meds
Fentanyl (Duragesic) Nursing Considerations
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydromorphone (Dilaudid) Nursing Considerations
Insulin
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin Drips
Insulin Mixing
IV Catheter Selection (gauge, color)
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
IV Drip Administration & Safety Checks
IV Insertion Angle
IV Placement Start To Finish (How to Start an IV)
IV Pump Management
IV Push Medications
Ketorolac (Toradol) Nursing Considerations
Lidocaine (Xylocaine) Nursing Considerations
Maintenance of the IV
Mannitol (Osmitrol) Nursing Considerations
MAOIs
Medications in Ampules
Meperidine (Demerol) Nursing Considerations
Meds for Postpartum Hemorrhage (PPH)
Methadone (Methadose) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Nalbuphine (Nubain) Nursing Considerations
Neostigmine (Prostigmin) Nursing Considerations
NG Tube Med Administration (Nasogastric)
NG Tube Medication Administration
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
Nystatin (Mycostatin) Nursing Considerations
Olanzapine (Zyprexa) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Pain Management Meds – Live Tutoring Archive
Parasympathomimetics (Cholinergics) Nursing Considerations
Patient Controlled Analgesia (PCA)
Pentobarbital (Nembutal) Nursing Considerations
Pharmacokinetics Nursing Mnemonic (ADME)
Phenobarbital (Luminal) Nursing Considerations
Positioning
Procainamide (Pronestyl) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Ranitidine (Zantac) Nursing Considerations
Spiking & Priming IV Bags
Starting an IV
Streptokinase (Streptase) Nursing Considerations
Supplies Needed
The SOCK Method – C
The SOCK Method – K
The SOCK Method – O
The SOCK Method – S
The SOCK Method – Overview
The SOCK Method of Pharmacology 1 – Live Tutoring Archive
The SOCK Method of Pharmacology 2 – Live Tutoring Archive
The SOCK Method of Pharmacology 3 – Live Tutoring Archive
Verapamil (Calan) Nursing Considerations
Magnesium Sulfate
IV Drip Therapy – Medications Used for Drips
IM Injections
How to Remove (discontinue) an IV
How to Secure an IV (chevron, transparent dressing)
Geriatric: IV Insertion
Giving Medication Through An IV Set Port
Combative: IV Insertion