IV to PO Conversion: Hydromorphone IV : PO = 1 : 5; Methadone IV : PO = 1 : 0.7. Current Infusion Dose Recommended Scheduled Dosing PRN Dosing Midazolam Drip IV Lorazepam (Max Dose: 4 mg) PRN IV Lorazepam (Max Dose: 4 mg)
Methadone 10mg q3h PRN. Max 3 doses in 24hrs. On day 4/5 – doses Methadone 40mg PO OD starting dose. Addition of Hydromorphone IR tablets.
Methadone 10mg q3h PRN. Max 3 doses in 24hrs. On day 4/5 – doses Methadone 40mg PO OD starting dose. Addition of Hydromorphone IR tablets.
Max 3 doses in 24hrs. On day 4/5 – doses consolidated. Hold 10mg PRN dose Methadone 40mg PO OD starting dose. Addition of Hydromorphone IR
The methadone max dose for pain is 100mg daily. The use of this medication higher than this dose would result in an overdose which has its signs
Quick Guide: Methadone Starts in the Hospital. Day 1: max daily dose 40 mg methadone. Testing prior to first dose: Urine toxicology. EKG for QTc interval. Urine
The mean duration on methadone treatment was 3.8 years (min=1 year, max=9 years. SD= 1.8). b. Dosage. Table 2.2: Methadone dose among
IV to PO Conversion: Hydromorphone IV : PO = 1 : 5; Methadone IV : PO = 1 : 0.7. Current Infusion Dose Recommended Scheduled Dosing PRN Dosing Midazolam Drip IV Lorazepam (Max Dose: 4 mg) PRN IV Lorazepam (Max Dose: 4 mg)
Calculate starting lorazepam dose: Midazolam: Multiply current midazolam drip rate (mg/kg/h) X 0.5 = _____ mg/kg lorazepam q6h (max initial dose 0.2 mg/kg/dose q6h AND max 4 mg q6h) Weaning Methadone and Lorazepam Once stable on methadone and/or lorazepam for 24 h with no withdrawal symptoms, wean methadone and lorazepam as follows. Methadone
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