OPIOID CONVERSIONS

More documents

Recommendations

Info

CHANGING <strong>OPIOID</strong> AGENTS PP: Remember - Incomplete cross-tolerance between different opioids Start new opioid at ½-⅔ of the calculated equianalgesic dose. Instructions: 1. If working with SR opioid, calculate 24 hr current opioid dose 2. Use equianalgesic ratio to calculate new opioid dose 3. Reduce dose by ½-⅔ for cross tolerance
Mrs. T 80mg oxycontin q12h=160mg total oxycodone/day ⅔ (160mg) ≈ 100 mg morphine/day (Check pill availability) – MS Contin 45mg q12h Rescue dose 10% 90mg = 9 mg 20% 90mg = 18mg MS Contin 45mg q12h + MS IR 15mg q4h prn
Page 1 and 2: OPIOID CONVERSIONS Sarah Beth Harri
Page 3 and 4: • Equianalgesic ratios serve as r
Page 5 and 6: Mr. Smith (Case 1) Case 1: 10mg oxy
Page 7 and 8: Mr. Smith (Case 2) 10mg oxycodone 6
Page 9: Mr. Smith (Case 3) Total Oxycodone/
Page 12 and 13: Ms. Y 20 mg oxycodone X 5 doses = 1
Page 16 and 17: Quick TIP • OXYCODONE MORPHINE E
Page 18 and 19: Mr. Z Convert MS IR Dilaudid 4-5 m
Page 20 and 21: Mr. C Oxycodone in 24 hrs = 40mg (S
Page 22 and 23: Mr. D 400mg (SR)+200mg (IR) = 600mg
Page 25 and 26: Ms. Y 24 hr morphine = 60mg X 6 dos
Page 27 and 28: Mr. Y MS Contin 100mg q8h = 300mg m
Page 29 and 30: CHANGING OPIOID ROUTE: SAME DRUG PP
Page 31 and 32: Mr. M EASY!! 20mg po methadone q8h
Page 33: Mr. A Oxycontin 120mg q12h = 240mg
Page 36 and 37: Ms. P 60mg IV 300mg IV 900 mg po di
Page 38 and 39: Cost Comparison DRUG COST per PILL
Page 40 and 41: Conclusion • Avoid combo agents

OPIOID CONVERSIONS

Create successful ePaper yourself

Delete template?

Save as template?