24.07 Hydromorphone (Dilaudid)

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Included In This Lesson


Generic Name


Trade Name



moderate to severe pain


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