# Demystifying Opioid Conversion Calculations

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Have you ever wondered if you calculated your patientas dosage correctly? Against a backdrop of the growing scrutiny of appropriate dosages, this textbook takes a fresh, new approach to helping health professionals strengthen care to and possibly save the lives of patients living with pain. This easy-to-understand and often humorous book is the most comprehensive to-date on opioid calculations for pain management and palliative care. It carefully walks clinicians through a five-step process for performing opioid conversion calculations in the real-world situations they often see. The book has case examples, simple charts and tables, and practice problems throughout on topics such as:Am difficult conversions for methadone, fentanyl, PCA, and neuraxial opioid therapyAm conversions between routes and dosage formulations of the same opioids and different opioidsAm titrating opioid dosages up and down to include dosage change and timingAm calculating doses for rescue opioid therapy Written by pain management expert Dr. Mary Lynn McPherson, the book gives helpful tips that practitioners should incorporate into their practices. It is a must for clinicians at all levels: hospice and palliative care physicians, physicianas assistants, nurses, nurse practitioners, and pharmacists. Clinicians will come away with more confidence in doing the calculations, and higher service levels from the improvement in care.plan covers long-acting oral morphine. RDa#39;s total daily dose of hydrocodone is 50 mg (5 doses x 10 mg per tablet). ... Since RD is not pleased with his level of pain control, it would not be reasonable to reduce the dose. Unfortunately, 50 mg TDD oral morphine does not divide well for every 12-hour dosing; our choices are reduce the morphine a bit ... mg parenteral hydromorphone Cross multiply: (X)( 1.5) = (20)(12) 1.5X = 240 X= 160 This method shows that the TDD oral oxycodoneanbsp;...

 Title : Demystifying Opioid Conversion Calculations Author : Mary Lynn McPherson Publisher : ASHP - 2009-08-24