Medication 7-263 - Dilaudid (Hydromorphone)

CMH EMS & MIH Protocols

Scope of Practice:

• Registered Nurse
• Paramedic
• Community Paramedic

Route(s):

• IM/SQ, IO, IV,

Pharmacodynamics (class and mechanism of action):

• Narcotic analgesic (Analgesia and sedation. CNS depressant. Decreased sensitivity to pain.).

Pharmacokinetics:

• Half-life: 2-4 hours.
• Onset time: 10-15 minutes.
• Peak action time:
• IM: 30-60 minutes.
• IV: 15-30 minutes.
• Duration of action:
• IM: 4-5 hours.
• IV: 2-3 hours.

• Peak	21	42	63	84	105	126	147	168	189	210	231	minutes
  Duration	21	42	63	84	105	126	147	168	189	210	231	minutes

Dosing:

• Refer to specific protocol(s) below for dose(s).

Indications:

• Not in current standing order protocols.

Contraindications:

• Hypersensitivity.

Pregnancy Risk Factor:

• Category C
• Risk not ruled out: Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks. FDA requires a relatively large amount of high-quality data on a pharmaceutical for it to be defined as Pregnancy Category A. As a result of this, many drugs that would be considered Pregnancy Category A in other countries are allocated to Category C by the FDA.

Potential Incompatibilities:

• Medication 7-417 - Heparin.

Precautions and Adverse Effects:

• Respiratory depression may last longer than analgesia.
• May cause Bradycardia, respiratory depression, and/or euphoria.

Antidote:

• Medication 7-603 - Narcan.

Controlled Substance Information:

• Schedule II
• High potential for abuse. Abusing the drug can cause severe physical and mental addiction.
• DEA number: 9150.
• Narcotic: Yes.
• Street names: Big D, Crazy 8, D, Dill, Dillies, Dilly, Drug Store Heroin, Dust, Footballs, Hillbilly Heroin, Hospital Heroin, Hydros, Juice, M2, M80s, Moose, Peaches, Shake and Bake, Smack, Super 8, White Triangles.

CMH Pre-Hospital Services Mission: "Provide safe, exceptional, and compassionate care to our communities with an emphasis on highly trained and empowered staff."

CMH Mobile Integrated Healthcare Mission: "Provide exceptional, compassionate, and patient-centered care by a mobile collaborative team to improve patient experience, improve quality outcomes, and reduce healthcare costs."

Polk, Hickory, Cedar, & St Clair County EMS Protocols is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.