How do you convert IV Po to morphine?

How do you convert IV Po to morphine?

Opioid Equianalgesic Conversion Ratios for use with the following examples:

1. Calculate the 24 hour current dose: 90mg q 12 = 180 mg Morphine/24 hours.
2. Use the oral to parenteral equianalgesic ratio: 30 mg PO Morphine = 10 mg IV Morphine.

How do you convert IV hydromorphone to Po?

Conclusion: Our study found that 1 mg of IV hydromorphone is equivalent to 2.5 mg of oral hydromorphone and 11.46 mg of MEDD. Hydromorphone at doses ≥30 mg/day may require a lower ORR to other opioids.

What is PO Dilaudid?

Descriptions. Hydromorphone oral liquid and tablets are used to relieve pain. The hydromorphone extended-release capsules and extended-release tablets are used to relieve pain in opioid-tolerant patients severe enough to require around-the-clock pain relief for a long period of time.

How strong is 1ml morphine?

This product is very strong. It should only be used if you have been regularly taking moderate to large amounts of an opioid pain medication. This strength may cause overdose (even death) if taken by a person who has not been regularly taking opioids. Each milliliter of this product contains 20 milligrams of morphine.

How many patients on IV hydromorphone were converted to oral opioids before discharge?

Linear regression analysis was used to estimate the CR or ORR between the 24 hour IV hydromorphone mg dose before conversion and the oral opioid mg dose used before discharge. Results: Among 394 patients on IV hydromorphone, 147 underwent conversion to oral hydromorphone and 247 underwent rotation to oral morphine (163) or oxycodone (84).

What is the ratio of IV hydromorphone to oxycodone?

I:2.5 (IV hydromorphone to oral hydromorphone) 1:10 (IV hydromorphone to oral morphine) 1:8 (IV hydromorphone to oral oxycodone) Reddy, et al. J Pain Sx Manage 2017;54:280-288.

What is bidirectional conversion of opioids?

Bidirectional conversions: When converting between certain opioids, the direction of conversion (eg, morphine to hydromorphone versus hydromorphone to morphine) will produce a different conversion ratio. These bidirectional differences are not captured in a traditional equianalgesic table. 5, 7

What is the ratio of Popo hydromorphone to Medd?

PO hydromorphone to PO morphine 5 (4, 5) 5 5 (5, 5) 5 7.5 (5, 7.5) 7.5 TDF mcg/h to MEDD 2 (2, 2.4)