How do you convert PO to Dilaudid IV?
Example: Hydromorphone IV:PO ratio = 1.5 : 4-7.5. This is approximately equal to 1:3 or 1:5. If converting from oral to IV hydromorphone, use a conversion ratio of 7.5:1.5, i.e. divide oral dose by 5 to get equianalgesic oral dose. If converting from IV to oral hydromorphone, use a conversion ratio of 1.5:4, ie.
What is Mme stand for?
Mme
| Acronym | Definition |
|---|---|
| Mme | Master Mode Entry |
| Mme | Master of Medical Engineering (degree program) |
| Mme | Maximum Mean Energy |
| Mme | Master of Management in Education |
What is the MME of opiods?
Morphine milligram equivalents (MME) is an opioid dosage’s equivalency to morphine. The MME/day metric is often used as a gauge of the overdose potential of the amount of opioid that is being given at a particular time.
What does 90 mme a day mean?
90 MME/day: • 90 mg of hydrocodone (9 tablets of hydrocodone/ acetaminophen 10/325) • 60 mg of oxycodone (~2 tablets of oxycodone. sustained-release 30 mg) • ~20 mg of methadone (4 tablets of methadone 5 mg)
What does Hib stand for?
Hib is short for Haemophilus influenzae type b, a type of bacteria. It can cause serious illnesses, some of which can be life-threatening. Hib infections in the U.S. are rare thanks to the Hib vaccine. In developing nations where the vaccine is less used, though, Hib disease is still a major health concern.
What does DTP stand for in medical terms?
DTP (diptheria, tetanus toxoids and pertussis) Vaccine Adsorbed (For Pediatric Use) is a vaccine used for active immunization of children up to age 7 years against diphtheria, tetanus, and pertussis (whooping cough) simultaneously.
What MME is too high?
Lower dosages are considered to be 20-50 MME a day, with 50 or greater considered to be a higher dose. Patients taking 50 or greater MME daily are more at risk for problems related to opioid use. Very high dosages are 90 or greater MME a day. The CDC recommends avoiding these dosages.
How to calculate the opioid dose conversion ratio?
Use the oral to parenteral equianalgesic ratio: 30 mg PO Morphine = 10 mg IV Morphine Calculate new dose using ratios: 180/30 x 10 = 60 mg IV Morphine/24 hours or 2.5 mg/hour infusion Some experts recommend starting the new opioid at 75% of the calculated dose to account for inter-individual variation in first pass clearance.
Is there an equianalgesic ratio for methadone conversions?
Check out the new advanced version for methadone related conversions …. Published equianalgesic ratios are considered crude estimates at best and therefore it is imperative that careful consideration is given to individualizing the dose of the selected opioid.
How do you convert one opioid to another?
Convert each dose into MMEs by multiplying the dose by the conversion factor. If more than one opioid medication, add together. Determine equivalent daily dose of new opioid by dividing the calculated MMEs of current opioid by new opioid’s conversion factor. Reduce this amount by 25-50% and then divide into appropriate intervals.
Why do equianalgesia conversions differ between opioids?
Opioid metabolism and excretion do differ among the opioids; therefore, alterations in drug disposition will alter the relative potencies of different opioids. When switching between opioids, equianalgesic conversions may overestimate the potency of the new opioid due to incomplete cross-tolerance.