{"id":435,"date":"2013-06-08T09:47:27","date_gmt":"2013-06-08T13:47:27","guid":{"rendered":"http:\/\/emeddoc.org\/?p=435"},"modified":"2013-06-08T09:47:27","modified_gmt":"2013-06-08T13:47:27","slug":"dilaudid-hydromorphone-how-much","status":"publish","type":"post","link":"https:\/\/emeddoc.org\/?p=435","title":{"rendered":"Dilaudid (Hydromorphone), How much?"},"content":{"rendered":"<p>Pain management in ED is a challenging topic. Teaching residents to start with NSAIDS vs Narcotics and Ibuprofen- Toradol vs Morphine- Dilaudid , always could be a place for discussion\/argument. <!--more-->Recent article in Annals studied an interesting method to administer Dilaudid, it called 1+1, instead of giving a bolus of 2 mg Dilaudid they proposed 1mg and then assess patients pain after 15 min and if needed re-dose the patient. in 1+1 group , 50 % less opioid needed to have satisfactory analgesia.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/www.annemergmed.com\/article\/S0196-0644%2813%2900201-1\/abstract\">Link to Article<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pain management in ED is a challenging topic. Teaching residents to start with NSAIDS vs Narcotics and Ibuprofen- Toradol vs Morphine- Dilaudid , always could be a place for discussion\/argument.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22,13,14,15,16],"tags":[],"class_list":["post-435","post","type-post","status-publish","format-standard","hentry","category-general-em","category-pgy1","category-pgy2","category-pgy3","category-pgy4"],"_links":{"self":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/435","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=435"}],"version-history":[{"count":3,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/435\/revisions"}],"predecessor-version":[{"id":438,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/435\/revisions\/438"}],"wp:attachment":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=435"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=435"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=435"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}