Mcpherson is the director of pharmacotherapy services at universitycare. A pharmacists role in the management of chronic pain. Demystifying opioid conversion calculations, a guide for effective dosing by mary lynn mcpherson article in journal of palliative medicine 145. Mary lynn mcpherson writes a comprehensive book with a lighthearted tone that makes opioid calculations approachable. Aug 24, 2009 buy the paperback book demystifying opioid conversion calculations. Calculate the total shortacting opioid ir used in 24 hours convert this total to a longacting opioid 2. Mcpherson, 9781585281985, available at book depository with free delivery worldwide. From there, you can view and download your ashp ebooks to the reader of your choice. Mcpherson will have her most recent book, demystifying opioid conversion calculations. I am so impressed with the careful and sequential approach. Opioid conversion guide these conversions are a guide only. Opioid conversion calculations journal of pain and symptom. Evaluation and comparison of online equianalgesic opioid dose. Amer soc of healthsystems pharm, bethesda, md, 2009.
While these class of drugs are excessively feared, when used judiciously, they provide excellen. Free shipping and pickup in store on eligible orders. To reduce the risk of unintentional overdose, the conversion ratio calculated for a patient undergoing opioid rotation should be adjusted based on clinical. Mcpherson stresses that it is important for practitioners to understand opioid conversion calculations so that a patients medications can be switched safely and effectively to avoid toxicity.
Aug 24, 2009 demystifying opioid conversion calculations. Mary lynn mcpherson takes the reader on the voyages and adventures of opioid conversions with the skill of an exceptionally brave commander. Demystifying opioid conversion calculations mcpherson. Mcpherson is the director of pharmacotherapy services at universitycare waxter in baltimore. Describe the pharmacokinetics of transdermal fentanyl, and variables that can influence dosing. Patients may vary in their response to different opioids. Demystifying opioid conversion calculations, a guide for. Effective dosing mcpherson, demystifying opioid conversion calculations by mary lynn mcpherson 2009 paperback to make your spare time considerably more colorful. Introduction to opioid conversion calculations converting among routes and formulations of the same opioid converting among routes and formulations of different opioids titrating opioid regimens. There are many opioids and many formulations available e. Demystifying opioid conversion calculations 83 chapter 5 transdermal and parenteral fentanyl dosage calculations and conversions objectives after reading this chapter and completing all practice problems, the participant will be able to. Mary lynn mcpherson is the author of demystifying opioid conversion calculations 4. Meet mary lynn mcpherson, author of ashps demystifying opioid conversion calculations, who tells us the idea behind her book and how it. Variability in opioid equivalence calculations pain medicine.
Pdf free download pretitle demystifying opioid conversion calculations. A userfriendly guide on opioid conversion calculations. Mcpherson takes the reader on the voyages and adventures of opioid conversions with the skill of an exceptionally brave commander. A guide for effective dosing mcpherson, demystifying opioid conversion calculations by mary lynn mcpherson. Objectives describe reasons why patients need to switch from.
Metric conversion chart 2 documents tire conversion chart 3 documents dog years chart 2 documents measurements chart 1 documents class attendance sheet 2 documents seating chart template 3 documents sample attendance sheet 7 documents html color code chart 4 documents urine color chart 4 documents color wheel chart 4 documents. It should not be used to determine doses when converting a patient from one opioid to another. Safe and appropriate use of methadone in hospice and. Demystifying opioid conversion calculations download. Mary lynn mcpherson author of demystifying opioid conversion. Demystifying opioid conversion calculations mcpherson, demystifying opioid conversion calculations. The book has case examples, simple charts and tables, and practice problems throughout. Similar to morphine, oxycodone is available in a sustained acting preparation oxycodone oxycontin that can be dosed every 12 hours. Demystifying opioid conversion calculations, 2nd edition, is designed to help practitioners including pharmacists, physicians, nurses, and others develop a high level of skill in performing the required mathematical calculations associated with opioid conversions, plus the confidence to safely and effectively manage their patients needs for. Demystifying opioid conversion calculations medical books. Download for offline reading, highlight, bookmark or take notes while you read demystifying opioid conversion calculations. Opioid conversion factor convert to mmes duration hours dose equivalent morphine sulfate 30mg codeine 0.
Mary lynn mcpherson, the book gives helpful tips that practitioners should incorporate into their practices. Gwent guidance on the use of strong opioids in non malignant pain is available at. Demystifying opioid conversion calculations by mary lynn m. American society of healthsystem pharmacists, c2010. Demystifying opioid conversion calculations youtube. American society of health systems pharmacists, bethesda, maryland, 2010. Fr475 mary lynn mcpherson, pharmd ma mde bcps, university of maryland school of pharmacy, baltimore, md.
Calculate the rescue dose 1020% of tdd based on new daily opioid dose case 1 mj is a 47yearold hispanic female with chronic back pain. May 04, 20 magical, mystical, mischievous methadone. Were going to be talking a little bit about opioids during this time and opioid conversion calculations, and a little bit about your book. Caution is required if opioid dose equivalence tables are used to guide opioid switching, as the administration of a calculated equivalent dose of the replacement opioid may lead to. Click and collect from your local waterstones or get free uk delivery on orders over. Equianalgesic opioid dosing adapted from mcpherson, m.
Calculating conversations about opioid conversions. There are essentially two competing public health crises in the united states today chronic pain and problems associated with opioid overdose and. What are best safety practices for use of methadone in the. Safe and appropriate use of methadone in hospice and palliative care. This opioid dose equivalence table is intended for comparison of different opioid and opioid formulations in individual patients or in patient cohorts. There is no universally accepted opioid conversion method, however, and there is often. Checks will need to be made out to the division of general internal medicine. Opioid conversion calculator for morphine equivalents. Equianalgesic opioid dosing calculation isnt simple math. Strategic planning in complex pain syndromes mary lynn mcpherson, pharmd, ma, mde, bcps, cpe professor and executive director, advanced postgraduate education in palliative care. Topical and transdermal analgesics at end of life mary lynn mcpherson, pharm. Divide the 24 hour dose of the equianalgesic dose of the new opioid to determine the unit doses and frequency. The book offers a comprehensive overview of opioid prescribing and dosing with writing that is clear and succinct, and stresses solid. Meet mary lynn mcpherson, author of ashps demystifying opioid conversion calculations, who tells us the idea behind her book and how it has helped countless healthcare professionals over the years.
Though american society of pain educators board president mary lynn mcpherson, pharmd, bcps, cpe, faspe, pointed out people who do brain surgery every day look like deer in the headlights with opioid conversion when they can ask any third grader how to do it, her case studies featuring patients with a lack of therapeutic response and numerous adverse events and medical conditions, as. Methadone is not a cure for the problem of opioid dependency. A guide for effective dosing ebook written by mary lynn mcpherson. Calculate opioid dose adjustments and opioid starting doses.
This easytounderstand and often humorous book is the most comprehensive todate on against a backdrop of the growing scrutiny of appropriate dosages, this textbook takes a fresh, new approach to helping health professionals strengthen care to and possibly save the lives of patients living with pain. A guide to effective dosing mcpherson, demystifying op paperback mary lynn mcpherson on. A guide for effective dosing by mary lynn mcpherson at indigo. Opioid conversions and opioid dosing calculator disclaimer. Transdermal and parenteral fentanyl dosage calculations and. I am almost through your opioid dosing booki cant thank you enough i have been teaching opioid conversions at my hospice for 5 years now. Determine doses when converting a patient from one opioid to another. This calculator is intended for calculating the morphine equivalent dose med dose for a patient taking one or more opioid medications. The free opioid calculator the calculator provided by remedy health media llc the company, and all information contained therein, is solely for use by trained medical professionals who are experienced in the calculation of doses of opioids based on currently published conversion factors and. Have you ever wondered if you calculated your patients dosage correctly.
A guide for effective dosing, has long been the goto guide for learning how to calculate opioid conversions. After changing opioid, close assessment should follow and the dose altered as necessary. Mcpherson 2009, paperback at the best online prices at ebay. All the questions you had about opioids but were afraid to. A guide for effective dosing mcpherson, demystifying opioid conversion calculations 9781585281985 by mary lynn mcpherson and a great selection of similar new, used and collectible books available now at great prices. Debating contemporary issues in opioid therapy mary lynn mcpherson, pharmd, ma, mde, bcps, cpe. Clinicians generally calculate doses for opioid rotation using equianalgesic dose tables, but published data for conversion frequently are inconsistent. All that we know for sure right now is that relapse is a major feature of opioid dependency. All the questions you had about opioids but were afraid to ask. Your equation would look like this based on conversion table. Equianalgesic doses of oral opioids oral opioid conversion factor opioid dose x or. The book has case examples, simple charts and tables, and practice problems throughout on topics such as. The revised edition covers the entire spectrum of opioid analgesics used to manage patients with. E4306, 2018, 288 pages praised by practitioners, students and instructors for its engaging approach to teaching a very complex subject, demystifying opioid conversion calculations.
Written by pain management expert mary lynn mcpherson, pharmd, ma, mde, bcps, cpe, demystifying opioid conversion calculations focuses on the calculations that practitioners use in actual practice, providing realistic scenarios for decision making. A podcast with mary lynn mcpherson october 04, 2018 on todays podcast we go deep into the mind of one of the most brilliant and respected palliative care pharmacists, mary lynn mcpherson, to ask all the questions weve had about opioids but were too afraid to ask. Expert consensus white paper mary lynn mcpherson, pharmd, ma, mde, bcps, cpe, kathryn a. Opioid conversion guide these conversion factors are approximations. American society of health systems pharmacists, bethesda, maryland, 2000. Mary lynn mcphersons second edition of her book, focusing on opioid conversion, offers healthcare providers strategies for calculating and. She serves as a consultant pharmacist for both local and national hospice and palliative care programs, and has designed a critical thinking process for. A guide for effective dosing posttitle from mediafire, rapishare, and mirror link. Mary lynn mcpherson, pharmd, ma, mde, bcps, a professor of pharmacy practice and science at the university of maryland school of pharmacy in baltimore, md, has released the second edition of her book, demystifying opioid conversion calculations.
Increase the newlyconverted longacting opioid by 50% 3. Discover book depositorys huge selection of mary lynn mcpherson books online. Ashp ebooks sign in with your ashp username and password to access purchased ebooks in my library. Opioids belong to the narcotic analgesic class of drugs and are potent analgesic drugs. Mary lynn mcpherson writes a comprehensive book with a lighthearted tone that makes opioid calculations ap proachable. Demystifying opioid conversion calculations, a guide for effective. Webster, md, and mary lynn mcpherson, pharmd practical pain management wanted to address the major safety concerns for prescribing physicians and patients regarding methadone use in pain management. Mary lynn mcpherson on equianalgesic dosing charts youtube. Demystifying opioid conversion calculations by mary lynn mcpherson book resume. Buy the paperback book demystifying opioid conversion calculations. She has maintained a practice in both hospice local and national and ambulatory care her entire career.
Mary lynn mcpherson discusses equianalgesic opioid dosing. What happens when a patients opioid dosage is wrong. I really believe that the pharmacist is the last line of defense in the safe and effective use of chronic opioid therapy in patients with pain. Mellar davis, md fccp faahpm, geisinger medical center, danville, pa. What are best safety practices for use of methadone in the treatment of pain. Drug equianalgesic oral dose morphine 30 mg hydromorphone 7. Against a backdrop of the growing scrutiny of appropriate dosages, this textbook takes a fresh, new approach to helping health professionals strengthen care to and possibly save the lives of. Most of us who work in the field would enthusiastically agree to speak on any topic related to painwith the exception of opioid conversions. Mary lynn mcpherson, pharmd, bcps, cpe, professor, vice chair of pharmacy practice and science, university of maryland school of pharmacy, baltimore, md, president, the. A guide to effective dosing mcpherson, demystifying op paperback. It is a treatment and one that is effective for only as long as a person continues to take it appropriately. Opioid manager switching opioids morphine equivalence table. May 03, 2012 mary lynn mcpherson, pharmd, bcps, faspe, cpe, professor and vice chair of pharmacy practice and science, university of maryland school of pharmacy, baltimor.