NCLEX RN Practice Question # 543

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hydromorphone hydrochloride (Dilaudid)

• Can cause dizziness, nausea, vomiting, sedation, decreased blood pressure, decreased respirations, diaphoresis, flushed face, urinary retention
• May be prescribed to be administered with an antiemetic such as promethazine (Phenergan) to prevent nausea
• High dosages may result in respiratory depression, skeletal muscle flaccidity, cold clammy skin, cyanosis, and extreme somnolence progressing to seizures, stupor, and coma.
• Used cautiously in clients delivering preterm infants
• Not administered in early labor because it may slow the labor process
• Not administered in advanced labor (within 1 hour of expected delivery); if the medication is not adequately removed from the fetal circulation, respiratory depression can occur.