Chapter 104 Switching Drug Therapies Sample Questions
1. Physician seeks your help to guide him switching therapy for a patient. He would like to switch this patient to fentanyl. Currently, patient is on oral Hydromorph Contin 9 mg 8AM, 9mg 2PM, 10mg 8PM with hydromorphone 3mg q4h prn (use average 6mg a day). What should be the strength of fentanyl?
- A. Recommend fentanyl patch 75 mcg/h daily, discontinue hydromorph contin, keep short acting hydromorphone for breakthrough pain
- B. Recommend fentanyl patch 75 mcg/h every 3 days, discontinue hydromorph contin, keep short acting hydromorphone for breakthrough pain
- C. Recommend fentanyl patch 75 mcg/h every 3 days, discontinue hydromorph contin and short acting hydromorphone
- D. Recommend fentanyl patch 75 mcg/h every 3 days, keep hydromorph contin and discontinue keep short acting hydromorphone for breakthrough pain
Ans:
B
Tips: 9mg+9 mg+10 mg + 6 mg = 34 mg per day
Save My Preference