Introduction to Pharmacy III part 2 Flashcards
Opioid Conversions
Some institutions have their own protocols
Conversion Formula:
current opioid dose (mg),route x desired opioid/current opioid=desired opioid dose (mg), route
Patient is currently on oxycodone 10 mg TID. The provider would like to switch to IV hydromorphone four times daily.
What is the answer?
10 mg x 3 times daily = 30 mg/day
30 mg PO oxy Γ 1.5mg IV hydromorphone/20mg PO oxy= 2.25 mg IV hydromorphone daily/4 doses/day = 0.5 mg/dose
Hydromorphone IV 0.5 mg four times daily
Patient is currently on fentanyl 2 mg Q4H PRN pain and utilizes 5 doses per day. The provider would like to switch to PO oxymorphone
2 mg/dose x 5 doses/day = 10 mg/day
10 ππ πΌπ ππππ‘ Γ10 ππ ππ ππ₯π¦ππππβπππ/ ((0.1 ππ πΌπ ππππ‘))=
1,000 mg PO oxymorphone per day
The pharmacist has an order for heparin 25,000 units in 250 mL D5W to infuse at 1,000 units/hr. What should the infusion rate be set at in mL/hr?
25,000units/250mL= 100 units/mL
1,000 units/1 hour x 1mL/100 units=10 mL/hr
Clinical Questions
Can I open benzonatate capsules?
Where would you look?Online drug reference of choice such as ______________
Lexidrug
What other information do you need to know?
Can I open benzonatate capsules?
Why do we need to open them?
Does the pt have ________trouble?
Does the patient have an Ng tube?
swallowing trouble
Things to keep in mind when
addressing clinical questions
Who is the _________?
______ is asking the question?
______ did this question arise?
Often it is NOT an easy yes or no answer
patient
Who
Why
Can I order IV midazolam to be given on an acute care floor?
Based on hospital policy β no!
________ is this question being asked?
Pt is currently seizing and already administered lorazepam & started levetiracetam drip
Ptβs seizures have previously responded to midazolam
Why
Why can it not usually be administered on acute care floor?
Requires ________ level monitoring
Is an ICU nurse or provider at bedside to monitor? Is pt going to be transferred to ICU?
ICU level monitoring
