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Opioid Dose Equivalence Calculation Table. Morphine Equivalent Daily Dose (oMEDD), multiply the current daily opioid. For example, oMEDD of oxycodone 40mg/day = 40 x 1.5 = 60mg/day. CURRENT OPIOID.
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.
Guidelines for Patient-Controlled Intravenous Opioid Administration (PCA) for Adults with Acute Pain. The amount of opioid required to achieve comfort varies from patient to patient. Adjust dosing to achieve patient comfort with minimal side effects.
This guideline details equivalent dosages between opioids. There are 2 tables below: Opioid Conversion Chart: This provides advice on equivalent doses between opioid preparation for use by non-specialist clinical teams. Opioid Conversion Chart for Palliative Care Specialists: This provides information on additional.
calculating total daily dose of morphine, 249–250 converting multiple opioids to oral morphine, 259–260 dosage based on incorrect information, 258–259 dose-stacking morphine, 252–253 interaction between methadone and phenytoin, 257–258 not enough post-operative opioid, 250–252 prescription writing, 248–249
Dosages and opioid conversions cannot account for differences in genetics and pharmacokinetics. * Avoid NSAIDs in renal dysfunction, PUD, CHF, < 6 mo of age, >20 wks pregnant.
• Interpret recent research on retrospective opioid conversions and its impact on use of an equianalgesic opioid resource. • Given a simulated patient, calculate a new opioid regimen using the same opioid but with a different dosage formulation or route of administration.
