NCLEX Review: Hydromorphone (Opioid, Narcotic, High Alert) - Mechanism of Action, Uses, Dosing, Side effects, Interactions, Contraindications, Nursing considerations, and Antidote
Action: 0:19
Uses: 1:07
Dosing: 2:06
Side effects: 2:56
Interactions: 3:27
Contraindications: 3:55
Nursing considerations: 4:28
Antidote: 5:20
Correction to increasing bulk-forming foods for constipation:
"Increasing dietary fiber, fluid intake, and physical exercise are the backbone to prevention therapy... All types of laxatives can be used as initial therapy except for the bulk-forming laxatives... The only laxatives that should be avoided are the bulk-forming laxatives, like psyllium. These laxatives increase the bulk of the stools, distend the colon, and augment peristalsis. Opioids prevent peristalsis of the increased bulk which worsens abdominal pain and can contribute to bowel obstruction." - Opioid Induced Constipation (2021) - PMID: 29630236
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Reference Images:
Brainstem image: Wikipedia - Brainstem
Advil and Tylenol image: wsj.com - Advil vs. Tylenol. Which to Use, and When
Coughing image: pulmonologyadvisor.com - Clinical Challenge: Elderly Man Presents With Dyspnea at Rest and Chronic Cough
Narcan nasal spray image: Narcan.com
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