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Sedation/Analgesia, CICU, Mechanically Ventilated Patient — Opioid Conversion — Clinical Pathway: ICU

Sedation/Analgesia in Mechanically Ventilated Patient Clinical Pathway — CICU

Converting IV to Enteral Sedation – Calculating the Dose for Opioids

Continuous Medication Infusion (CMI)Enteral Agent (PO/GT/JT/NG/NJ/ND)
Fentanyl 3 mcg/kg/hr

Morphine 0.55 mg/kg/dose q 4h

Fentanyl < 3 mcg/kg/hr

Fentanyl ___ mcg/kg/hr x___ kg x 0.18 = ___mg enteral morphine/dose
Calculated dose should be given q4h

Morphine 0.1 mg/kg/hr

Morphine 1.2 mg/kg/dose q 4h

Morphine < 0.1 mg/kg/hr

Morphine ___ mg/kg/hr x ___ kg x 12 = ___ mg enteral morphine/dose
Calculated dose should be given q4h

Hydromorphone 0.01 mg/kg/hr

Morphine 0.8 mg/kg/dose q4h

Hydromorphone < 0.01 mg/kg/hr

Hydromorphone ___ mg/kg/hr x ___ kg x 80 = ___ mg enteral morphine/dose
Calculated dose should be given q4h

 

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