Iv fentanyl conversion

    • Opioid Equianalgesic Table

      If converting from IV to oral hydromorphone, use a conversion ratio of 1.5:4, ie. multiply IV dose by 3 to get equianalgesic IV dose. Calculating the equipotent dose: Example: Convert patient from morphine 30mg po q4h to hydromorphone IV. Step 1: Calculate current total daily usage of opioids. Morphine 30 mg /dose x 6 doses/day = 180mg/day.

    • [PDF File]Clinical Mathematics for Anesthetists

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      The total drug mass of fentanyl is 100 mcg/20 mL. Take the fentanyl (50 mcg/mL) and draw up 2 mL in the 20 mL syringe. The total volume you have drawn up so far is 5 mL (bupivacaine) + 2 mL (fentanyl) = 7 mL. Add 13 mL diluent to achieve a total volume of 20 mL.

    • [PDF File]Adult IV PCA Order Set - University of Massachusetts ...

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      FentaNYL 20 mcg/mLIncreasing sedation (POSS score > 3 or RASS < 0) PCA dose: ___ mcg Unsatisfactorily treated nausea/vomiting or pruritus 5. If no other IV ordered, use NS at 30mL/hr to maintain IV access for PCA 6. Educate the patient and family on the proper use of the PCA pump *Note: Morphine is the initial drug of choice if the patient has

    • [PDF File]Opioid Analgesics - Home | Stanford Medicine

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      Routes: IV, epidural, intrathecal, transdermal, intranasal, other transmucosal Highly alpha-1-glycoprotein bound › Neonates with ↓ glycoprotein production → higher percentage unbound Fentanyl patches › Semipermeable membrane with a …

    • [PDF File]Appendix A: Equianalgesic Conversion for Morphine

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      Appendix A: Equianalgesic Conversion for Morphine Morphine Equivalence Table (for chronic dosing) DRUG SC/IV (mg) PO (mg) COMMENTS morphine 10 30A codeine 120 (SC only) 200 metabolized to morphine fentanyl patch see table below – useful when PO / PR routes not an option fentanyl 0.1 (100 mcg) NA usually dosed prn less than 1 hour effect

    • [PDF File]Opioid Oral Morphine Milligram Equivalent (MME) …

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      iv The MME conversion factor for fentanyl buccal tablets, sublingual tablets, and lozenges/troche is 0.13. This conversion factor should be multiplied by the number of micrograms in a given tablet or lozenge/troche. v The MME conversion factor for fentanyl film and oral spray is 0.18. This reflects a 40% greater bioavailability for films

    • [PDF File]090714 opioid conversions

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      duration of action so is not suitable as a breakthrough medication - Fentanyl is the most appropriate for breakthrough. The breakthrough dose is 1/8 th rather than the usual 1/6 th of the total daily dose, and the conversion from alfentanil to fentanyl is to divide by five. To

    • [PDF File]PICU SEDATION PROTOCOL

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      Morphine IV PRN dosing: Fentanyl: Fentanyl dose (mcg/kg/hr) x weight x 0.5 10 Morphine: Morphine dose (mg/kg/hr) x weight x 0.5 Hydromorphone: HM dose (mg/kg/hr) x weight x 6.7 x 0.5 Order calculated dose q4h IV prn. Max dose 6mg/dose. Lorazepam (Avan) PRN dosing: Midazolam dose (mcg/kg/min) x weight x 60 x 0.5 1000 Order calculated dose q6h IV ...

    • [PDF File]Opioid Conversion Table - BC Renal

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      (IV/subcutaneous) Morphine 10 mg 1 20 –30 mg Hydromorphone 2 2 mg 4 mg Fentanyl 100 mcg (0.1 mg) NA Patch 3 Codeine 120 mg 200 mg (subcutaneous only)4 Oxycodone NA 5 20 mg Methadone —2–4 mg 6 Opioid Conversion Table Adapted on work done by PHC (funding from the Carrares Foundation) and FH renal program

    • [PDF File]Opioid Equianalgesic Chart

      https://info.5y1.org/iv-fentanyl-conversion_1_ecad42.html

      morphine. Your equation would look like this based on conversion table. 15mg PO morphine = 5mg IV morphine = 60mg IV 180mg PO morphine X mg IV morphine over 24 hr Converting to Transdermal Fentanyl • (methylphenidate, increase caffeine Calculate PO Morphine equivalent and divide by 2. Ex: MS 100mg PO = Fentanyl 50mcg patch.

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