28 yo obese AA F pmh sickle cell disease comes in complaining of b/l leg pain similar to her prior pain crises. She states that she normally takes 8 mg morphine IV to control her pain however your hospital has a morphine shortage. What drug can you use and how much?

A:

Dilaudid has shown efficacy and has a 1 mg dilaudid = 7 mg morphine IV.

Below is the  ‘Pain Management: Opiod Therapy Guidelines.”

Ben Slovis will be posting the whole card for reference on the website.

Dr. Shreves stated that this card is super comprehensive encompassing many of the things she learned during her palliative care fellowship.