OPIOID CONVERSIONS

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CHANGING <strong>OPIOID</strong> ROUTE: DIFFERENT DRUG PP: Easiest to convert to morphine 1 st Remember to reduce ½-⅔ for X-tolerance
Mr. A Oxycontin 120mg q12h = 240mg oxycodone/day 240mg 240 mg 80mg IV morphine/ oxycodone/day po morphine/day day 16 mg IV dilaudid/24h = 0.67 mg IV dilaudid/hr ⅔ (0.67mg/hr) = 0.4 mg IV dilaudid/hr
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 14 and 15: CHANGING OPIOID AGENTS PP: Remember
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: Mr. M EASY!! 20mg po methadone q8h
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

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