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Hydromorphone Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses

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Hydromorphone

Generic Name: hydromorphone

Trade Name: Dilaudid

Indication: moderate to severe pain

Actio:n 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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