How do you administer IV hydromorphone?

How do you administer IV hydromorphone?

Intravenous Administration: The initial starting dose is 0.2 to 1 mg every 2 to 3 hours. Intravenous administration should be given slowly, over at least 2 to 3 minutes, depending on the dose. The initial dose should be reduced in the elderly or debilitated and may be lowered to 0.2 mg.

How often can you give IV hydromorphone?

The initial starting dose is 0.2 to 1 mg every 2 to 3 hours. Intravenous administration should be given slowly, over at least 2 to 3 minutes, depending on the dose.

How do you calculate hydromorphone?

Example: Change 90 mg q 12 Extended Release Morphine to oral Hydromorphone.

1. Calculate the 24 hour current dose: 90 Q12 x 2 = 180 mg PO Morphine/24 hrs.
2. Use the equianalgesic ratio: 30 mg PO Morphine = 7.5 mg PO Hydromorphone.
3. Calculate new dose using ratios: 180/30 X 7.5 = 45 mg oral Hydromorphone/24 hours.

How many 4mg Dilaudid can you take?

Adults—At first, 2 to 4 milligrams (mg) every 4 to 6 hours. Your doctor may adjust your dose as needed. Children—Use and dose must be determined by your doctor.

How do you convert IV hydromorphone to Po?

Example: Hydromorphone IV:PO ratio = 1.5 : 4-7.5. This is approximately equal to 1:3 or 1:5. If converting from oral to IV hydromorphone, use a conversion ratio of 7.5:1.5, i.e. divide oral dose by 5 to get equianalgesic oral dose. If converting from IV to oral hydromorphone, use a conversion ratio of 1.5:4, ie.

Can you take hydromorphone on an empty stomach?

Take this medication by mouth as directed by your doctor. You may take this drug with or without food. If you have nausea, it may help to take this drug with food. Ask your doctor or pharmacist about other ways to decrease nausea (such as lying down for 1 to 2 hours with as little head movement as possible).

Do you flush before IV push?

Your doctor has ordered a medication that will go into your intravenous (IV) line. This is called an IV Push because the medication is “pushed” into your bloodstream with a syringe. Your IV line will also need to be flushed.

How many milligrams of hydromorphone should I take?

-Hydromorphone oral doses of 6.5 to 7.5 mg are approximately equianalgesic to the following oral doses: Morphine 40 to 60 mg; Oxymorphone 6.6 mg; Levorphanol 4 mg; Meperidine 300 to 400 mg; Methadone 10 to 20 mg. Comments: -Dose titration should be guided by need for analgesia rather than by dose.

What is the Po ratio for hydromorphone IV?

Example: Hydromorphone IV:PO ratio = 1.5 : 4-7.5. This is approximately equal to 1:3 or 1:5. If converting from oral to IV hydromorphone, use a conversion ratio of 7.5:1.5, i.e. divide oral dose by 5 to get equianalgesic oral dose.

How often should hydromorphone be taken after cessation?

Cessation of therapy in the opioid-tolerant patient: -Taper extended-release gradually by 25% to 50% every 2 or 3 days down to a dose of 8 mg per day before discontinuation to prevent signs and symptoms of withdrawal.

Which is better for IV morphine Dilaudid or morphine?

IV to PO narc conversions. IV Dose PO dose. Morphine 1 mg 3 mg. Dilaudid (hydromoprhone) 1 mg 5 mg. Equivalent narcotic IV dosing. Dilaudid 1.5 mg.