hydromorphone

Indication

A narcotic pain medication used to relieve pain.

Side effects

Sedation, decreased senses, dizziness, seizures, euphoria, low blood pressure, decreased heart rate, nausea, vomiting, constipation, ¯ paralytic ileus, urine retention (cannot void), respiratory depression (slowed breathing), and addiction.

Interactions and precautions
1. Use with alcohol tricyclic antidepressants, sedatives, other narcotic pain medications, antihistamines, muscle relaxants, or other depressants can increase sedation.
2. Use with anticoagulants; (Warfarin) may increase anticoagulant effect.

Usual dose

Adults: oral, 2 mg every three to six hours as needed. Paediatrics: individualized by physician.

Tetanus

Tetanus or lockjaw is a bacterial disease that affects the nerves and muscles. Tetanus is caused by the Clostridium tetani bacteria that enter the body through a skin wound. The bacteria produce a neurotoxin that leads to muscle spasms. The muscles of the face and jaw are first affected. The area of the wound is also affected. The toxin then affects other parts of the body as it travels through the blood and lymph systems. Tetanus can be fatal if not treated promptly. Tetanus can occur in cases of injury such as small cuts, frostbite or burn. Tetanus-causing bacteria are found in soil, saliva or fecus and contaminated needles. Newborn infants can get affected by tetanus due to unsanitary conditions during childbirth.

Symptoms of tetanus include muscle spasms in the jaw. The patient may notice these spasms later in the neck, shoulders, abdomen and limbs. Fever and irritability are often noticed. Severe spasms can cause difficulty in breathing. If you have a wound, ensure that it is kept clean. If there is a risk of tetanus infection, the doctor may give a shot of tetanus vaccine. Antibiotics may also be prescribed. Sedatives may be given if the patient suffers from muscle spasms. Tetanus usually occurs in people who have not be immunized or havent had a booster shot.