Nursing Medication Card -HYDROmorphone (Dilaudid)(Kor/Eng)

Hydromorphone (하이드로몰폰)

• 적응증: 중등도~중증 통증
• 작용: 오피오이드 수용체 작용
• 흡수: 빠른 흡수
• 분포: BBB 통과, 전신
• 대사/배설: 간 대사, 신장 배설
• 부작용: 호흡 억제, 변비, 오심
• 용량: 2~4mg/4~6시간마다
• 간호 포인트: 호흡수 확인 필수, 중독 가능성 주의

 

HYDROmorphone (Dilaudid): Allergy, cold, cough remedies(antitussives), opioid

Class	Opioid analgesic 진통제 / antitussive 기침을 억제하는 ; opioid agonist
Indications	- Moderate to severe pain - Antitussive (in lower doses)
Therapeutic Effects	- Relief of moderate to severe pain - Suppression of cough
Absorption	Well absorbed via PO, rectal, subcutaneous (Subcut), and intramuscular (IM) routes
Distribution	Widely distributed; crosses placenta and enters breast milk
Protein Binding	~20%
Metabolism & Excretion	Metabolized primarily by the liver; excreted via urine
Adverse Drug Effects (ADE)	CNS: Confusion, sedation CV: Hypotension GI: Constipation
Dose	- PO ≥50 kg: 4–8 mg every 3–4 hrs as needed - PO <50 kg: 0.05 mg/kg every 3–4 hrs - IV/IM/Subcut ≥50 kg: 0.06 mg/kg q3–4h - <50 kg: 0.015 mg/kg q3–4h
Considerations	Monitor for respiratory depression, sedation, and constipation; assess pain before and after administration; use with caution in opioid-naive patients