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Hydromorphone (Dilaudid)
CLASS:
Opium derivative
narcotic analgesic
ACTION:
Potent analgesia
without hypnotic effects Metabolized in =
liver
and excreted in urine (may be excreted in breast milk)
INDICATIONS:
Moderate to sev=
ere
acute or chronic pain especially in situation which hypnotic effect is=
not
desirable
Abdominal pain
(kidney stone) Amputation Burns Chest pain
(cardiac) Eye injures
(traumatic) Fractures
CONTRAINDICATIONS:
Acute bronchial
asthma or status asthmaticus Respiratory
depression/Upper airway obstruction Diarrhea caused=
by
poisoning until toxic material is eliminated Pulmonary edema
caused by respiratory irritants Undiagnosed abd=
ominal
pain Not recommended=
for
use during labor and delivery Hypersensitivit=
y to
opiates
PRECAUTIONS:
Elderly/debilit=
ated Impaired
hepatic/renal function Increased ICP/h=
ead
injury Signs of acute
abdominal conditions may be masked
SIDE
EFFECTS:
Respiratory
depression Sedation/drowsi=
ness Orthostatic
hypotension
DOSAGE/ROUTE:
0.1 - 1.0 mg IV=
over
2-5 minutes; after 1.0 mg, contact medical control
Antidote: narca=
n
SUPPLIED:
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