OPIOID CONVERSIONS

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PRESCRIBING LONG-ACTING <strong>OPIOID</strong>S 3. Using rescue doses to increase SRopioid PP: Can safely escalate opioid dose in pt with constant pain after 24-48 hrs If total drug taken as rescue dose in 24hr is > 25% total SR dose, increase the SR dose by that amount
Mr. Smith (Case 3) Total Oxycodone/day = 80mg (SR) + 40mg (IR) = 120mg oxycodone/day New Oxycontin dose = 60mg q12h Rescue dose 10% 120mg = 12 mg 20% 120mg = 24 mg Oxycontin 60mg q12h with 15-20mg oxycodone 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: Mr. Smith (Case 2) 10mg oxycodone 6
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 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

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