Table of Contents
How do you mix fentanyl injections?
Dissolve the fentanyl citrate and sodium chloride in about 95 mL of Sterile Water for Injection. Adjust the pH to 4 to 7.5 with either sodium hydroxide or hydrochloric acid. Add sufficient Sterile Water for Injection to final volume and mix well.
How many fentanyl is 100 micrograms?
Fentanyl is a opioid analgesic. A dose of 100 µg (0.1 mg or 2.0 mL) is approximately equivalent in analgesic activity to 10 mg of morphine or 75 mg of pethidine. The principal actions of therapeutic value are analgesia and sedation.
How do you use liquid fentanyl?
Use one dose of fentanyl sublingual spray for breakthrough pain. If you are still in pain after your first dose, use a second dose 30 minutes after your first dose. Do not use more than two doses per breakthrough pain episode.
How do you dilute fentanyl injections?
Any unused portion should be discarded. Fentanyl for infusion may be prepared by dilution with infusion fluids containing 5% glucose or 0.9% sodium chloride.
How do you calculate fentanyl MME?
However, since the fentanyl patch remains in place for 3 days, we have multiplied the conversion factor by 3 (2.4 X 3 = 7.2). In this example, MME/day for ten 25 µg/hr fentanyl patches dispensed for use over 30 days would work out as follows: Example: 25 ug/hr fentanyl patch X (10 patches/30 days) X 7.2 = 60 MME/day.
What happens when you drink fentanyl?
A fentanyl overdose can be fatal, especially in a child or other person using the medicine without a prescription. Overdose symptoms may include slow breathing and heart rate, severe drowsiness, muscle weakness, cold and clammy skin, pinpoint pupils, and fainting.
How do you calculate morphine?
Calculate new dose using ratios: 180/30 X 7.5 = 45 mg oral Hydromorphone/24 hours….Opioid Equianalgesic Conversion Ratios for use with the following examples:
- Calculate the 24 hour current dose: 90mg q 12 = 180 mg Morphine/24 hours.
- Use the oral to parenteral equianalgesic ratio: 30 mg PO Morphine = 10 mg IV Morphine.
How is MME’s 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 calculate IV morphine?
Example: Change from 90 mg q12 Extended Release Morphine to IV Hydromorphone as a continuous infusion.
- Calculate the 24 hour current dose: 90 Q12 x 2 = 180 mg PO Morphine/24 hrs.
- Use the equianalgesic ratio of PO to IV morphine: 30 mg po Morphine = 10 mg IV Morphine.
How is opioid Mme 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. Why should a provider consider MME?
What is the maximum Mme per day?
3. Max Quantity Limits: Limit the quantity of opioids prescribed to 90 MME/day. Prescribers may request a PA for higher doses up to 200 MME/day. Note: MME refers to morphine milligram equivalent.