問題詳情

49.下列何者與長期使用morphine IM/IV 30 mg有相等的止痛劑量(equianalgesic dose)?
(A)morphine PO 30 mg
(B)oxycodone PO 45 mg
(C)hydromorphone PO 10 mg
(D)fentanyl buccal film 200 μg

參考答案

答案:B
難度:困難0.381
書單:沒有書單,新增

用户評論

HUSpiTLE】評論

DrugApproximate equivalent oral doseApproximate equivalent IV or subcutaneous doseConversion ratio to determine daily total ORAL morphine milligram equivalent (MME)Morphine30 mg10 mg§  Parenteral morphine to oral morphine: 1:3FentanylNot available0.1 mg (100 mcg)§  Parenteral fentanyl to oral morphine: 1:300Hydrocodone30 mgNot available§  Oral hydrocodone to oral morphine: 1:1Hydromorphone7.5 mg1.5 mg§  Oral hydromorphone to oral morphine: 1:4§  Parenteral hydromorphone to oral morphine: 1:20Oxycodone20 mgNot available§  Oral oxycodone to oral morphine: 1:1.5Oxymorphone10 mg1 mg§  Oral oxymorphone to oral morphine: 1:3§  Parenteral oxymorphone to oral morphine: 1:30MorphineFentanyl transdermal*IV (mg/day)Oral (mg/day)Patch (mcg/hour)515NA8.52512103012175025331005050150756720010083250125100300150117350175133400200150450225167500250183550275200600300Ref: Uptodate—Approximate dose conversions for commonly used opioids (refer to important note below)題目: morphine IM/IV 30 mg根據以上表格:morphine PO 30 mg (90mg)oxycodone PO 45 mg (60mg) -->雖然很不完美,但是是倍數最接近的了。hydromorphone PO 10 mg (22.5mg)fentanyl buccal film 200 μg (約(25~50)*24=(600~1200) mcg/day)