Dilaudid 1 mg iv?

Dilaudid is hydromorphone. If you’re asking about IV dosing:

- For opioid-naive adults: 0.2–0.4 mg IV every 2–3 hours as needed. Do not start with 1 mg in a naive patient.
- For opioid-tolerant adults: 0.5–2 mg IV every 2–3 hours as needed (often higher in very tolerant patients, but always titrate carefully).

Equianalgesia (rough guide): 1 mg IV hydromorphone ≈ 7 mg IV morphine.

Onset and duration
- Onset: about 5–15 minutes after IV administration.
- Peak effect: around 10–20 minutes.
- Duration: roughly 3–4 hours.

Important safety notes
- Common side effects: sedation, dizziness, nausea/vomiting, itching, may cause respiratory depression.
- Higher risk in elderly, in those with lung or brain disease, kidney or liver impairment, or when combined with other CNS depressants (alcohol, benzodiazepines).
- Give IV hydromorphone slowly (often over 2–3 minutes) and monitor vitals closely.

If you have a specific scenario (opioid-naive vs tolerant, postoperative vs chronic pain, age, kidney/liver function), tell me and I can tailor the guidance. If you meant something else by “Dilaudid 1 mg IV,” please clarify.