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Originally Posted by Lawsonc
20mg IVP is really not all that uncommon when dealing with certain populations. Try a femur fracture on the way to your methadone clinic. I am pretty sure that was "up to 20mg" titrate.
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Anecdote alert: A couple months ago I had a chronic pain patient who developed a hematoma after a hip replacement. I had given Dilaudid 36mg IV by the time I transferred him. We were giving 5mg IV per dose by the end. He said it helped, but I really doubt I was making a dent in his pain. That’s equivalent to about 35-40mg of morphine IV per dose depending on the conversion factor you’re using.
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"In Medicine, either you are humble or you are about to be." -Unknown
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