Sedation/Analgesia, Mechanically Ventilated Patient Clinical Pathway — PICU
Sedation/Analgesia, Mechanically Ventilated Patient Clinical Pathway — PICU
Opioid Rotation
- All conversions are not intended to be bidirectional
- Conversions incorporate a dose reduction for incomplete cross-tolerance
- Avoid recommending rotation back to fentanyl due to tachyphylaxis
Fentanyl |
---|
Rotation to Morphine Fentanyl ___ mcg/kg/hr x 0.02 = __ mg/kg/hr IV morphine |
Rotation to Hydromorphone Fentanyl ___ mcg/kg/hr x 0.005 = __ mg/kg/hr IV hydromorphone |
Hydromorphone | |
---|---|
Rotation to Morphine Hydromorphone ___ mg/kg/hr x 5 = __ mg/kg/hr IV morphine |
|
Rotation to fentanyl Do not convert |
Morphine |
---|
Rotation to Hydromorphone Morphine ___ mg/kg/hr x 0.12 = __ mg/kg/hr IV hydromorphone |
Rotation to fentanyl Do not convert |