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How much Dilaudid is equivalent to morphine?

How much Dilaudid is equivalent to morphine?

Approximate dose conversions for commonly used opioids (refer to important notes below)
Morphine Hydromorphone (Dilaudid)
200 600 150
Conversion ratios to determine daily total ORAL morphine milligram equivalent (MME)
Drug Approximate equivalent oral dose

How much stronger is IV Dilaudid than morphine?

Parenteral hydromorphone is approximately seven times more potent than parenteral morphine. For example, 1.5 mg hydromorphone intravenous (IV) = 10 mg morphine IV.

How is morphine calculated?

Average MME/day assigned to the patient: MME is calculated by adding the total daily amount of each opioid that a patient takes, converting each value to MME using a conversion factor based on morphine, then calculating the average day rate.

How do you convert oral morphine to IV?

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 calculate morphine drip?

Calculate hourly dose of Parenteral morphine by dividing the total 24 hour dose by 24. Therefore the hourly basal rate of Morphine sulfate infusion should be 2.54 milligrams.

What is the morphine equivalent of methadone?

300 mg morphine equivalent divided by 8 = 37.5 mg methadone per day. As the maximum starting dose recommended is 30 mg methadone per day, start at 15 mg twice a day or 10 mg three times a day.

What is the morphine milligram equivalent factor for hydrocodone?

As another example, Wolters Kluwer states that a 100 mg morphine-equivalent dose equals each of the following: 100 mg of hydrocodone.

What is the morphine milligram equivalent Mme factor for hydrocodone?

How do you convert to morphine equivalents?

Use the formula: Strength per Unit X (Number of Units/ Days Supply) X MME conversion factor = MME/Day.

How is methadone converted to morphine?

Equivalent morphine dose 150 mg x 2 = 300 mg morphine per day. Practitioners may be surprised at this equivalency.

How do you convert methadone?

Methadone dose: Divide the total daily morphine dose by the appropriate equianalgesic dose ratio (Table 2). In this case the equianalgesic dose ratio is 8:1. 300 mg morphine equivalent divided by 8 = 37.5 mg methadone per day.

How much methadone is equivalent to morphine?

How fast to give IV morphine?

the treatment is considered ethical,

  • the risk of a potentially dangerous adverse secondary effects particularly hastening death is minimal,and
  • the risk of respiratory depression is vastly over-estimated.
  • How fast to push IV meds?

    IV medication is often used because of the control it provides over dosage. IV administration, on the other hand, quickly sends a medication directly into the bloodstream. Other times, medications may need to be given slowly but constantly. IV administration can also be a controlled way to give drugs over time.

    What are common IV push medications?

    chemotherapy drugs such as doxorubicin,vincristine,cisplatin,and paclitaxel

  • antibiotics such as vancomycin,meropenem,and gentamicin
  • antifungal drugs such as micafungin and amphotericin
  • pain relief medications such as hydromorphone and morphine
  • drugs for low blood pressure such as dopamine,epinephrine,norepinephrine,and dobutamine
  • How much IV morphine equals?

    Morphine injections for break through pain can be safely given every 15 minutes (peak effect of IV Morphine is about 5 minutes). In this case, patient’s available breakthrough should be 60mg/ 24 hours. 2.5 mg / hr = 0.625 mg / 15 minutes: Thus the final order should read: