How do you treat an allergic reaction to Dilaudid?

  1. 1
    If a patient is allergic (not overdosed) to Dilaudid can you treat it with Narcan or do you have to give epinephrine?

    Also how can you tell if they are overdosed vs having an allergic response?
    AntoinetteLatisha likes this.

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  3. 36 Comments...

  4. 3
    I hope this is fundamentals home work......look up symptoms of overdose and symptoms of allergic reaction.
    tewdles, Katie225, and Altra like this.
  5. 0
    The reason I ask is because I know that symptoms of overdose include feeling drowsy and respiratory depression and an allergic response includes itching, rash, redness, and respiratory distress. I was talking to a nurse who told me that dilaudid can cause itchiness even if the patient is not allergic. She said that she has had several patients who experienced this without allergies to the medication which is why I asked that.

    I know Narcan cancels the effects of Dilaudid but my guess is that that is only good if they are OD. If they are allergic, I'm guessing it won't help much because they still need epi to increase circulation from shock...?
  6. 20
    Couldn't resist - has anyone ever seen someone with an allergy to dilaudid?
    Hygiene Queen, HeartNurse3, LalaJJB, and 17 others like this.
  7. 0
    How do you treat allergic reactions? What is the purpose of giving narcan?
  8. 0
    It's rare but possible. I read it in someone's chart which was why I was curious... I guess this was a stupid question to ask.
  9. 0
    Just think it through. Does your treatment of an allergic reaction differ depending on the allergan, or does it vary based on the severity of the allergic response? How is that different from treating overdoses? If someone has overdosed on ativan, would you give narcan?
  10. 0
    Thank you that makes sense. I was really confused because this patient who received Dilaudid was having respiratory depression and was treated with Narcan and they labeled her as allergic to Dilaudid.
  11. 3
    I wonder if the patient started referring to herself as "allergic?" Patients sometimes do that when they don't like a side effect of a medication. Diarrhea from antibiotics isn't an allergy, but I have patients report that frequently so in the charts it goes. It sounds like the patient either got too big of a dose or is just really sensitive to dilaudid.
    Altra, opossum, and art71372 like this.
  12. 4
    Quote from Do-over
    Couldn't resist - has anyone ever seen someone with an allergy to dilaudid?
    Yes: patient had tons of pruritis and rashes all over the body, but breathing was not impaired. All other possible causes ruled out. Treated with diphenhydramine.
    tewdles, OnlybyHisgraceRN, GrnTea, and 1 other like this.

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