Insight on Dilaudid?

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Hi everyone,

Forgive me for being new to all these things that happen (still a student), but during clinicals my patient asked for Dilaudid. I let the RN know, and he rolled his eyes and said "oh, he wants Dilaudid? Everyone wants Dilaudid" quite sarcastically. I've heard that in the ER, drug-seekers frequently ask for the magical "medication that starts with a D."

What exactly is the history with Dilaudid in nursing?

Specializes in Infusion Nursing, Home Health Infusion.

Nor all patients can take Morphine.All narcotics have the potential to cause higher pressures in the biliary tree and in particular Morphine.I get horrible Sphincter of Oddi spasms that cause abdominal pain...gosh even po Morphine causes it.Its good to know this can happen.

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Nor all patients can take Morphine.All narcotics have the potential to cause higher pressures in the biliary tree and in particular Morphine.I get horrible Sphincter of Oddi spasms that cause abdominal pain...gosh even po Morphine causes it.Its good to know this can happen.

Glucagon will reverse the spasms if you ever need to take opioids. It is a smooth muscle relaxant. It is given very often during ercp to relax the sphincter for insertion of the scope

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Specializes in Critical Care, Float Pool Nursing.

Dilaudid feels good. That's why everyone wants it.

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ya I got that. I just thought I'd share that cuz it's a really good tidbit to know

I appreciate you sharing it. I had a patient who had c/o chest pain after receiving IV Benadryl in the ED and I was unaware that this was the most likely cause. Good to know.

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Don't forget the phenergan because they're terribly nauseous and allergic to Zofran, Reglan, and compazine.

Oh you had the same patient as me. Lol

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Specializes in allergy and asthma, urgent care.
Dilaudid feels good. That's why everyone wants it.

Not everyone....it makes me barf my brains out. I'd rather have some pain than deal with nausea on top of pain. Morphine doesn't do that to me.

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Specializes in Infusion Nursing, Home Health Infusion.

Thank you Cook26 that is great to know about the Glucagon.Donnatol also helped

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Specializes in Infusion Nursing, Home Health Infusion.

Oh no I can't take Compazine either due to very uncomfortable extrapyramidal effects

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Specializes in Home Health, Hospice, LTC.

I can't have Fentynl or Dilaudid due to allergic reactions to both. I break out in hives from my nose to mid-chest...ugh. Give me morphine any day of the week!

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