How do you convert IV hydromorphone to Po?
The bioavailability of an oral dose of hydromorphone is about 20%, therefore a higher dose must be given orally. For the majority of patients, the conversion ratio from IV to PO is 1:5 a.
Is there a 16 mg Dilaudid?
Currently approved hydromorphone products include tablets of 2, 4, and 8 mg, extended release tablets of 8, 12, 16, 32 mg, oral solution of 5 mg/5 ml viscous liquid, and ampules of 1, 2, 4, and 10 mg/ml sterile solution for parenteral administration.
Can Dilaudid be po?
DILAUDID ORAL LIQUID and DILAUDID TABLETS are intended for oral use only. Misuse or abuse of DILAUDID ORAL LIQUID and DILAUDID TABLETS pose a risk of overdose and death. This risk is increased with concurrent abuse of alcohol and other CNS depressants.
Is IV Dilaudid stronger than IV morphine?
Dilaudid is used to treat moderate-to-severe pain symptoms. Due to its high potential for addiction, Dilaudid is usually reserved for short-term therapeutic use. Despite this, while it is roughly 10 times more potent than morphine, Dilaudid is still only about one-tenth as strong as fentanyl.
How do I convert to Mme?
Use the formula: Strength per Unit X (Number of Units/ Days Supply) X MME conversion factor = MME/Day.
What is the dire score?
The DIRE is a clinician-rated instrument designed for use by primary care physicians to predict the efficacy of analgesia and adherence with long-term opioid therapy. The DIRE score can range from 7 to 21, with a score of 13 or below suggesting that a patient is not a suitable candidate for long-term opioid therapy.
What is the maximum Mme per day?
MME per day is enshrined in state laws, with the assumption that it is a standardized metric. imposed limits on the dosage of opioids that can be prescribed, ranging from 30 MME to a 120 MME daily maximum.
What does R stand for in dire score?
Risk. (R = Total of P + C + R + S below) Psychological: 1 = Serious personality dysfunction or mental illness interfering with care. Example: personality disorder, severe affective disorder, significant personality issues. 2 = Personality or mental health interferes moderately.
What is the Max dose of Dilaudid?
If dosing reaches 90 MME/day, the New York City Department of Health and Mental Hygiene recommends thorough reassessment of the patient’s pain status and treatment plan, and reconsideration of other approaches to pain management.
How fast can you push IV Dilaudid?
Important Dosage and Administration Instructions. Always initiate dosing in opioid-naïve patients using DILAUDID INJECTION.
How much Dilaudid is equal to 30mg morphine?
Oral hydrocodone is roughly 1.5 times more potent than oral morphine: 30mg Oral morphine: Hydromorphone: 7mg of oral hydromorphone: 1.5mg of parenteral hydromorphone: Oral hydromorphone is about 4-7 times as potent as oral morphine. Parenteral hydromorphone is 20 times as potent as oral morphine: 30mg Oral morphine: Fentanyl: NA: 15 micrograms/hr
What is Dilaudid equal to?
Dilaudid (hydromorphone hydrochloride) is an opioid narcotic pain reliever similar to oxycodone, morphine, methadone, fentanyl, and other opioids. Hydromorphone, like other opioids, stimulates receptors on nerves in the brain to increase the threshold to pain and reduce the perception of pain. Morphine is a chemical found in the opium plant.