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End of Life Online Curriculum - Modules

 

Pain Control: Opioid Conversion


Introduction Road Sign

Several opioids are in common use in a palliative care setting. Opioids differ in several ways including their potency, onset, and duration of action. The choice of opioid and the route of delivery is dependent on the specific patient's situation.

It may be necessary to convert from one opioid to another or to move from one delivery system to another when a patient's symptoms or location change over the course of therapy.

Learning Objectives

After completing this module you will be able to:
  1. List the primary drugs used in palliative care.
  2. List the conversion ratio approximations to oral morphine.
  3. Describe how to calculate equianalgesic opioid dose equivalents.
  4. Demonstrate how to convert from one equianalgesic dose of opioid to another.
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©End of Life Curriculum Project, a joint project of the US Veterans Administration and SUMMIT, Stanford University Medical School.
Funded by a grant to the Veterans Administration Nationwide Palliative Care Network by the National Library of Medicine. VJ Periyakoil, MD, Director.