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Daddybyrd

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  1. Dilaudid dosing in L&D

    Daddybyrd replied to Daddybyrd's topic in Ob/Gyn
    Thanks so much for all your comments - very helpful as usual.

  2. Dilaudid dosing in L&D

    Daddybyrd posted a topic in Ob/Gyn
    Does anyone have an existing protocol addressing the use of hydromorphone (dosing/frequency) for patients prior to delivery? I am a hospital pharmacist and I had a conversation with an OB/GYN nurse today regarding an order for 2mg IV every 3 hours prn. She was concerned that the dose may not have been appropriate in this setting. We talked about what we know: it cosses the placenta and thus can cause respiratory compromise in newborns. However, since hydromorphone is Category C and the manufacturer lists pregnancy as a contraindication, I can find very little published information regarding use in this specialty. Many thanks for your thoughts and/or experience with this med.

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