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OPIOID ADMINISTRATION GUIDELINES - pedmed.org

439 OPIOID ADMINISTRATION GUIDELINES Reviewed by Dr. Gillian Lauder, Ms. Amanda Dalgetty (Acute, Pain Service) [APS] Dr. Jennifer Kendrick, pharmacistTABLE OF CONTENTS PAGE GENERAL GUIDELINES (for all opioids) Continuous IV 388 Breakthrough 389 tapering and Discontinuing OPIOID 389 Conversion to oral 389 General Principles of OPIOID 389 OPIOID Conversion 390 SPECIFIC OPIOIDS A. Morphine 1. Writing the orders (includes example).. 390 2. Converting IV morphine to PO (includes example).. 391B. Hydromorphone 1. Writing the 392 2. Converting IV hydromorphone to 393 3.

TAPERING AND DISCONTINUING OPIOID INFUSIONS: 1. Patients with acute pain (e.g. post-op) can usually be changed from IV opioid infusions to PO opioid and non-opioid analgesics. 2. Transition to oral analgesics should be started as soon as patient can retain oral fluids and pain is well controlled. 3.

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