Nursing implications for hydrocodone

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Author: Admin | 2025-04-28

Of patients with acute abdominal conditions. Precautions for Lortab 7.5General: Special Risk Patients: As with any narcotic analgesic agent, Lortab 7.5 (hydrocodone bitartrate and acetaminophen tablets) /500 tablets should be used with caution in elderly or debilitated patients, and those with severe impairment of hepatic or renal function, hypothyroidism, Addison's disease, prostatic hypertrophy or urethral stricture. The usual precautions should be observed and the possibility of respiratory depression should be kept in mind.Cough Reflex: Hydrocodone suppresses the cough reflex; as with all narcotics, caution should be exercised when Lortab 7.5 (hydrocodone bitartrate and acetaminophen tablets) /500 tablets are used postoperatively and in patients with pulmonary disease.Laboratory Tests: In patients with severe hepatic or renal disease, effects of therapy should be monitored with serial liver and/or renal function tests.Carcinogenesis, Mutagenesis, Impairment of Fertility: No adequate studies have been conducted in animals to determine whether hydrocodone or acetaminophen have a potential for carcinogenesis, mutagenesis, or impairment of fertility.Pregnancy:Teratogenic Effects: Pregnancy Category C: There are no adequate and well-controlled studies in pregnant women. Lortab 7.5 (hydrocodone bitartrate and acetaminophen tablets) /500 tablets should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.Nonteratogenic Effects: Babies born to mothers who have been taking opioids regularly prior to delivery will be physically dependent. The withdrawal signs include irritability and excessive crying, tremors, hyperactive reflexes, increased respiratory rate, increased stools, sneezing, yawning, vomiting and fever. The intensity of the syndrome does not always correlate with the duration of maternal opioid use or dose. There is no consensus on the best method of managing withdrawal.Labor and Delivery: As with all narcotics, administration of this product to the mother shortly before delivery may result in some degree of respiratory depression in the newborn, especially if higher doses are used.Nursing Mothers: Acetaminophen is excreted in breast milk in small amounts, but the significance of its effects on nursing infants is not known. It is not known whether hydrocodone is excreted in human milk. Because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants from hydrocodone and acetaminophen, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.Pediatric Use: Safety and effectiveness in the pediatric population have not been established.Geriatric Use: Clinical studies of hydrocodone bitartrate and acetaminophen tablets

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