Hydromorphone (Dilaudid) #

Question 1

Class / Action

Answer 1

Opioid Analgesic / Blocks pain receptors in the brain to establish disconnect of pain sensation

Question 2

Onset / Duration of Action

Answer 2

ONSET: 3-5min
DURATION: 2-4hrs

Question 3

Indications

Answer 3

Moderate to Severe Pain

Question 4

Contraindications

Answer 4

1. Known Hypersensitivity
2. Respiratory Depression
3. Patient in Labor

Question 5

Precautions

Answer 5

1. Elderly Patients generally require Lower Dose
2. Opiate Naive Pts should receive Lower Dose
3. Significantly Smaller Dosing Required for hydromorphone than for morphine.

Question 6

Dosage / Administration

Answer 6

Adult: 0.01mg/kg every 5-10min titrating to effect, MAX Dose of 2mg, IM or SIVP.
Elderly: 0.005mg/kg, MAX Dose of 1mg.
Peds: 0.01mg/kg IM or SIVP/IO Over 3min, MAX Dose 0.5mg. May repeat after 5-10min x 1.

Question 7

Adverse Reaction

Answer 7

1. Respiratory Depression
2. HypOtension
3. Orthostasis