What's the typical conversion you are using for bolus trials? During my fellowship days we used 1:300 like morphine but I always felt that it wasn't adequate. Got an urgent referral for dilaudid IT pump for terminal cancer pain with allergic reaction to po/iv morphine but not iv/PO dilaudid. The patient is on a total of 360 mg PO Oxycodone in 24 hrs with poor pain control. What would be a reasonable bolus trial dose of dilaudid?
Intrathecal Dilaudid bolus trial
- Thread starter NEA
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Tunnel a catheter and start 1mg bolus. Then titrate by 0.5mg every 6hrs. This is low and slow in my book for the PO being taken. I think a single shot trial will fail.
Caveat: I do not know what I am talking about as I have taken out more pumps than I put in.
Caveat: I do not know what I am talking about as I have taken out more pumps than I put in.
i do less and less of this, and have moved to epidural trials. Bolus catheter with 3-5 mg, then start infusion 40mcg/cc at 4-10 cc/hr and titrate. thats all morphine.
if i was to do single shot IT dilaudid, i would do .1 mg, i believe. but if want to do a epidural catheter, put one in, and do 1 mg bolus, then 10 mcg/cc run at 4-8 an hour. someone chime in on this
if i was to do single shot IT dilaudid, i would do .1 mg, i believe. but if want to do a epidural catheter, put one in, and do 1 mg bolus, then 10 mcg/cc run at 4-8 an hour. someone chime in on this
