Hydromorphone (Dilaudid); Opioid Narcotic; Inj: 1 mg/mL, 2 mg/mL, 4 mg/mL, 10 mg/mL
Liq: 1 mg/mL
Supp: 3 mg
Tab: 1, 2, 3, 4, 8 mg;
Oral: 0.03-0.08 mg/kg/dose q4-6h (max 4 mg/dose)
IV/IM: 0.015 mg/kg/dose q4-6h (usual adult dose 2 mg)
Continuous IV infusion: Start at 0.0075 mg/kg/hr and titrate to desired effect
PCA (patient controlled analgesia): 0.0015-0003 mg/kg/hr continuous
IV basal rate and/or bolus doses 0.0015-0.0045 mg/kg
IV q6-15 minutes.
Delivery limit (basal rate and boluses): 2 mg/hr or 0.014 mg/kg/hr (whichever is smaller).
Effects are reversible with naloxone.