Information was received from a patient who was receiving hydromorphone (asked unknown mg/ml at asked unknown mg/day) via an implantable pump for spinal pain.It was reported that about an hour after a refill appointment the patient experienced light headedness, brain fog, dilated pupils, the sensation that their skin was crawling, elevated heart rate (178 beats per minute), labored breathing and blood pressure that was 170/90. the patient went to the emergency room where the doctor confirmed that they were having an overdose.The patient was given narcan.It was noted that during the refill the nurse was not able to find the catheter port so another nurse came and found it and removed the medication.
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