Examples: 1 mg IV dilaudid is about 6.6 mg IV morphine. 1 mg IV dilaudid is about 5 mg PO dilaudid. 1 mg IV dilaudid is about 20 mg PO morphine. 1 mg IV morphine is about 2 mg oxycodone PO. Fentanyl is the confusing one because we re generally used to mcg.
How would you replace it? – Equianalgesic: Morphine 30mg PO = Dilaudid 1.5mg IV – Methadone 8 mg PO = Methadone X mg PO IV. Morphine 1mg PO Morphine
Hydromorphone (Dilaudid) PO 2-4 mg q3-4h prn. (Elderly: Dilaudid 1-2 mg q4h IV equivalent: 120 mg morphine PO = 40 mg Morphine IV; Drip rate: 40 mg
(mg/day). Step 2: Current BREAKTHROUGH opioid therapy. Opioid, Dosage. Select Anamorph mg(PO), Codeine mg(PO), dilaUDID mg(IM/IV/SC), dilaUDID mg(PO), Endone
dilaUDID mg(IM/IV/SC), dilaUDID mg(PO), Durogesic microgram/hour The term Oral Morphine (PO) Equivalent mg/day updated to oral Morphine
❖ convert 45mg of IV PCA dilaudid to PO oxycodone. ❖ 1.5mg IV dilaudid = 10mg IV morphine = 20mg PO oxycodone. ❖ 45/1.5 = 30 doses of 1.5mg IV dilaudid.
dilaUDID mg(IM/IV/SC), dilaUDID mg(PO), Durogesic microgram/hour(Transdermal) The term Oral Morphine (PO) Equivalent mg/day updated to oral
We have a hospital policy that sedating IV meds (e.g. ativan, dilaudid, morphine, benadryl, phenergan) must be given at least 20 minutes apart. However, you can give IV of one and PO of another together, so IV dilaudid and an Ambien or IV Ativan with PO dilaudid would be fine, for example.
How would you replace it? – Equianalgesic: Morphine 30mg PO = Dilaudid 1.5mg IV – Methadone 8 mg PO = Methadone X mg PO IV. Morphine 1mg PO Morphine
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