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[DOCX File]ICU SEDATION GUIDELINES
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4 At steady state, slow release of fentanyl from storage in tissues can result in a prolonged half-life of up to 12 hr. 5 Equianalgesic data not available. 6 The recommendation that 1.5 mg of parenteral hydromorphone is approximately equal to 10 mg of parenteral morphine is based on single dose studies.
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[DOC File]ICU SEDATION GUIDELINES
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Bupivacaine does stimulate the CNS and at high serum concentrations (> 4 mcg/mL in adult patients) may result in restlessness, tremor, nystagmus, and clonic convulsions (1,2). Bupivacaine is also a myocardial depressant and when given in high doses or by intravenous injection may lead to bradycardia, hypotension, heart block, ventricular ...
25 mcg fentanyl patch equivalent

[DOC File]Fentanyl Transdermal System (TDS) Informational Summary
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Fentanyl Transdermal Patch Dosing and Safety Information Paper. ... and who require a total daily dose at least equivalent to fentanyl 25 mcg/h. Patients who are considered opioid tolerant are those who have been taking, for a week or longer, at least 60 mg of oral morphine daily, or at least 30 mg of oral oxycodone daily, or at least 8 mg of ...
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[DOC File]SYMPTOM MANAGEMENT GUIDELINES FOR SUPPORTING …
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Fentanyl patch 72 hourly Bupren-orphine patch 72 hourly Hydro-morphine 4 hourly Hydro-morphone SR b.d. 10 mg 30 mg 60 mg 5 mg 15 mg 20 mg 5 mg 20 mg 25 mcg 35-52.5 mcg 1.3 mg 4 mg 20 mg 60 mg 120 mg 10 mg 30 mg 40 mg 5 mg 40 mg 25-50 mcg 52.5-70 mcg 2.6 mg 8 mg 30 mg 90 mg 180 mg 10 mg 40 mg 60 mg 10 mg 60 mg 50 mcg 87.5-105 mcg 3.9 mg 12 mg
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[DOC File]Symptom Management Guidance to be used with Care …
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Convert to s/c pump (or in case of Fentanyl patch add CSCI, do not remove patch) following Guidelines for Pain Management, BUT consider increasing Opioid dose, e.g. give 30-50% more than the recommended equivalent dose (or for Transdermal Fentanyl add 30-50% of the equivalent dose).
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[DOCX File]California State University, Long Beach
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A CSULB patch is to be worn on the left sleeve. ... Fentanyl or. Sublimaze . IV, IM. Sedation/Analgesia • IV (Adults and Children > 12 yr): 0.5–1 mcg/kg/dose, may repeat after 30–60 min. ... 25 mcg vaginally every 4 to 12 hours until spontaneous labor occurs. 800 -1000 mcg rectally .
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CLINICAL GUIDELINES for PALLIATIVE CARE
The caregiver may be devoted to the patient and attached to him/her because of strong and long-standing emotional ties. ... *** Fentanyl is not recommended as first-line treatment for pain because Fentanyl 25 mcg/hr is a high initial dosage. ... Durogesic Patch of: 25 mcg/hr. 50 mcg/hr. 75 mcg/hr. 100 mcg/hr Rescue Dosage Morphine. IV/SC. 5 mg ...
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[DOCX File]Australian public assessment report for Fentanyl citrate ...
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Substantial excretion of fentanyl, and to a lesser extent, norfentanyl, in milk was demonstrated in lactating rats (postnatal day (PND) 12) following SC administration of fentanyl at 25 to 50 µg/kg/day. Milk: plasma ratios were about 6 for fentanyl and about 2-3 for norfentanyl.
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[DOC File]PAIN MANAGEMENT – ANALGESICS
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Oral Transmucosal Fentanyl Citrate (Actiq) – Used for the management of breakthrough cancer pain in patients with cancer who already are receiving and who are tolerant to opiod therapy. Transdermal system; Start with 25mcg/hr patch if no previous opiate use, otherwise use conversion chart. Patch changed every 3 days.
25 mcg fentanyl to morphine

[DOCX File]Date of check - SPS
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However the British National Formulary states that if necessary the dose should be adjusted at 48-72 hour intervals (13). Dose titration should usually be limited to increments of 12 to 25 micrograms/hour as appropriate (2,13,16). More than one fentanyl patch may be used for dose adjustments and for doses greater than 100micrograms/hour (4,5,8,13).
25 mcg fentanyl patch equivalent

How strong is fentanyl 25 mcg patch