Dosage. Select Anamorph mg(PO), Codeine mg(PO), dilaUDID mg(IM/IV/SC), dilaUDID mg(PO) oral Morphine Equivalent Daily Dose (oMEDD) (mg/day). Step 3
dilaUDID mg(IM/IV/SC), dilaUDID mg(PO), Endone mg(PO), HYDROmorphone mg(IM/IV/SC), HYDROmorphone mg(PO), Morphine mg(IM/IV/SC), Morphine mg(PO), Ordine mg(PO)
Examples: 1 mg IV dilaudid is about 6.6 mg IV morphine. 1 mg IV dilaudid is about 5 mg PO dilaudid. 1 mg IV dilaudid is about 20 mg PO morphine. 1 mg IV morphine is about 2 mg oxycodone PO. Fentanyl is the confusing one because we re generally used to mcg.
IV hydromorphone to PO morphine, PO hydromorphone, or PO Reddy did the wonderful study transitioning off of IV Dilaudid to the oral opioids.
Dosage. Select Anamorph mg(PO), Codeine mg(PO), dilaUDID mg(IM/IV/SC), dilaUDID mg(PO), Endone mg(PO), HYDROmorphone mg(IM/IV/SC), HYDROmorphone mg(PO)
Dosage. Select Anamorph mg(PO), Codeine mg(PO), dilaUDID mg(IM/IV/SC), dilaUDID mg(PO), Endone mg(PO), HYDROmorphone mg(IM/IV/SC), HYDROmorphone mg(PO)
❖ convert 45mg of IV PCA dilaudid to PO oxycodone. ❖ 1.5mg IV dilaudid = 10mg IV morphine = 20mg PO oxycodone. ❖ 45/1.5 = 30 doses of 1.5mg IV dilaudid.
How would you replace it? – Equianalgesic: Morphine 30mg PO = Dilaudid 1.5mg IV – Methadone 8 mg PO = Methadone X mg PO IV. Morphine 1mg PO Morphine
We have a hospital policy that sedating IV meds (e.g. ativan, dilaudid, morphine, benadryl, phenergan) must be given at least 20 minutes apart. However, you can give IV of one and PO of another together, so IV dilaudid and an Ambien or IV Ativan with PO dilaudid would be fine, for example.
Comments
The main character falls unconscious in a hospital. “IV”. Think about it.
Boyd