Hydromorphone - Med card PDF

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ACTIVE LEARNING TEMPLATE:

Medication

ST UDENT NAME _____________________________________ MEDICATION Hydromorphone __________________________________________________________________________

REVIEW MODULE CHAPTER ___________

NARCOTIC (OPIATE AGONIST); ANALGESIC CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION

Expected Pharmacological Action Potent opiate receptor agonist that does not alter pain threshold but changes the perception of pain in the CNS.

Therapeutic Use An effective narcotic analgesic that controls mild to moderate pain. Also has antitussive properties

Complications Nausea, vomiting, constipation, euphoria, dizziness, sedation, drowsiness, hypotension, bradycardia or tachycardia. Respiratory depression and/or blurred vision.

Medication Administration Tablet; oral liquid; solution for injection; extended release tablet; rectal suppository

Contraindications/Precautions Intolerance to opiate agonists; opiatenaïve patients; acute or severe asthma; hypercapnia; bronchial asthma, status asthmaticus; obstetrical analgesia; upper airway obstruction, GI obstruction; ilieus; severe respiratory depression; pregnancy.

Interactions Alcohol and other CNS DEPRESSANTS compound sedation and CNS depression. St. John’s wort, kava may increase sedation.

Nursing Interventions Note baseline respiratory rate, rhythm, and depth and size of pupils before administration. Monitor vital signs at regular intervals. Drug-induced respiratory depression may occur even with small doses.

Client Education Evaluation of Medication Effectiveness Note baseline respiratory rate, rhythm, and depth and size of pupils before administration. Monitor vital signs at regular intervals. Drug-induced respiratory depression may occur even with small doses and increases progressively with higher doses

ACTIVE LEARNING TEMPLATES

Use caution with activities requiring alertness; drug may cause drowsiness, dizziness, and blurred vision. Request medication at the onset of pain and do not wait until pain is severe. Medication can be addictive.

THERAPEU TIC P ROCEDURE

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