- 1Oct 25, '02 by Y2KRNHello Everyone,
Just wondering what is the largest dose of Dilaudid you have given IV push??? I know that it is usually 1-2mg but, have you seen it ordered and pushed in greater doses?? Thanks for your time.
- 0Oct 25, '02 by kidsOriginally posted by Y2KRN
Thank you so much for your reply, I had a Doc. order 6mg IV for someone with chronic pain, to be repeated x 2. I just thought that this may be a lot considering the comparison to morphine doses.
Again thank you.
P.S. This was a non-cancer patient.
I am on meds for chronic pain and have consistantly had problems with post op pain management...because the nurses (very appropriately) question the dosage or because the surgeon has no clue of how to prescribe parenteral MS for someone who takes 300 mg/day for maintanence- usually I can prevail upon the doc to involve the pharmasist but once my family did have to call my pain clinic doc in to "save me" followind an emergancy open lap (I was nonverval, puking, twitching and moaning).Last edit by kids on Oct 25, '02
- 0Oct 26, '02 by traumarnsHave had rsd pts with spinal stim placement require dilauded 4mg q8-10mins via pca, then ask for their bolus's of 10mg q 4hrs.
the one pt that i totally remember was up walking around, talking, no extra o2 requirements.(however i did have him wear nc at 2L just cause he was on so much) hemodynamically stable. as soon as the doc turned his stimulator on. he required barely 1/2 of the dose of dilauded he had been taking. we titrated the dilauded down slowly. and a few days later switched him to oral and he went buh by to home.
just for the record, the gentleman was not just on opiates for pain. he was on BOTH depakote and neurontin.
- 0Oct 26, '02 by RutgerskidBSNWorking for a hospice pharmacy I have seen Dilaudid Iv push up to 10mg q1-2h. This not often seen in most pt's. This particular pt had Lung Ca with mets to Brain and Bone, and was admitted back into the hospital. Besides end of life care, i have never seen it this high. I hope this helps.