What is the maximum IV dose of Dilaudid for adults aged 65 or older?

The maximum intravenous dose of Dilaudid (hydromorphone) for adults aged 65 or older is 0.5 mg IVP (intravenous push). This guideline reflects the increased sensitivity and potential for adverse reactions in the elderly population. Older adults often have altered pharmacokinetics, including changes in metabolism and excretion, which can increase the risk of sedation and respiratory depression when using opioids.

This conservative dosing is crucial to minimize the risk of side effects and ensure patient safety. The lower maximum dose helps balance the need for effective pain management with the potential hazards associated with higher opioid doses in this age group. It's important for healthcare providers to adhere to these protocols to provide safe and effective care to older patients.