Medication Question---Hospice Related

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I am hoping someone can help me. Due to the lovely weather we have been having in the midwest, I only received a very very brief description on how to calculate approximate equivalent dosages of medications allowed for a hospice client.

ex: My client has taken 14 Lortab 5/325 in the past 24 hours

The Rn needs to call the doctor and request an order for MS Contin--MSIR.

I have been asked to calculate approximate equivalent dosages of oxycodone and morphine in an equianalgesic table.

Please help! I am not sure how to correctly convert.

What would be a good teaching plan for 24 hour administration?

Thanks for any help or advice! :confused: :uhoh3:

Specializes in Pre-Op, Med-Surg, Oncology.

Oxycodone/APAP would be Percocet. Lortab would indeed be Hydrocodone/APAP. That would definitely be something they need to correct on your sheet... as that would directly impact your answer haha. As for the question itself (and I may have looked over this) but what program are you in exactly that is requiring you to do these calculations?

Another confusing thing about the question is MS-Contin and MSIR are different (Contin is long acting and "IR" is immediate release).

Specializes in PICU, NICU, L&D, Public Health, Hospice.
I am hoping someone can help me. Due to the lovely weather we have been having in the midwest, I only received a very very brief description on how to calculate approximate equivalent dosages of medications allowed for a hospice client.

ex: My client has taken 14 Lortab 5/325 in the past 24 hours

The Rn needs to call the doctor and request an order for MS Contin--MSIR.

I have been asked to calculate approximate equivalent dosages of oxycodone and morphine in an equianalgesic table.

Please help! I am not sure how to correctly convert.

What would be a good teaching plan for 24 hour administration?

Thanks for any help or advice! :confused: :uhoh3:

If you are a new field hospice nurse you should collaborate with the appropriate pharmacist as you learn this process. My agency has a contract with both local and a national pharmacy provider. You should have a pharmacy resource available to you 24 hrs per day as well.

Having said that...I bet your agency has provided you with the standing orders for pain relief as well as other pharmacy resources. Review the information they have provided. Call your preceptor and ask him/her.

Of course, you can always google it. It is not rocket science and should become routine for you with time and practice. Good luck!

Hello,

It is the first time I am using this blog. I have a quick question.

I would like to know if I can administer 2 different antibiotics Cefepine and Daptomycin one after the other to a client with a PICC line? If it is a double lumen PICC line, can I administer both at the same time?

Thanks

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