This application is designed to aid with opioid dose conversions. Useful for the transitioning patients from IV to oral pain regimens (for example, patients who are no longer NPO after surgery) or for consolidating opioids into a simpler regimem. This app will come in handy for medical students, interns, pain management teams, and anyone who will need to quickly and easily calculate these conversions. Adjustments can be made for incomplete cross-tolerance. Opioids and opiates included:
Methadone IM/IV/SC chronic user
Methadone PO chronic user
If you have suggestions for other drugs to add, or information to include in the app, email me!
Copyright 2011 Vikas Shah. Disclaimer and warning: The author makes no claims of the accuracy of the information contained herein; and these suggested doses are not a substitute for clinical judgement. This application was written solely to be used as a helpful adjunct for professionally trained physicians and practitioners otherwise experienced in drug administration and dosing. The data is provided for informational purposes only and in no way should be construed as professional medical advice. If you don't know the drug, its side effects, and its pitfalls, don't use it! Care has been taken that no errors in calculation have been made, but all calculations must be verified by the user. Drug dosing given here is based on published doses, but in all cases drugs should be administered on a case by case basis and titrated to effect for the individual patient. In no case have individual patient differences been taken into account, and conditions including but not limited to renal disease, hepatic dysfunction, cardiovascular disease, pulmonary disease, metabolic diseases and mitochondrial diseases may impact dosing or safety in the use certain drugs. Neither the name of the copyright owner nor the name of this project may be used to endorse or promote products derived from this software without specific prior written permission. This software is provided by the copyright holder "as is" and any express or implied warranties, including, but not limited to, the implied warranties of merchantability and fitness for a particular purpose are disclaimed. In no event shall the copyright owner be liable for any direct, indirect, incidental, special, exemplary, or consequential damages (including, but not limited to, procurement of substitute goods or services; loss of use, data, or profits; or business interruption) however caused and on any theory of liability, whether in contract, strict liability, or tort (including negligence or otherwise) arising in any way out of the use of this software, even if advised of the possibility of such damage. In places where such liabilities cannot be waived or disclaimed, liability shall not exceed the retail cost of the application to the user of the application. Dose calculations based on information found at http://www.globalrph.com/narcotic.cgi. PLEASE READ THE DISCLAIMER CAREFULLY BEFORE USING THIS APP. BY USING THIS APP, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS. If you do not agree with these terms and conditions, delete this applicaton from your device.
Conversion of opioids with bolus calculation (for breakthrough pain), calculation of infusions (calculation of dosage , duration rate , duration, bolus doses and with dropclicker) and conversion of corticosteroids in one tool . Portable for daily work (not only) in the palliative and oncological care for physician and nursing.
1 opioid converter
- Conversion of up to 2 opioids to another opioid with variable reduction and bolus dose
- Output of the whole conversion with tips and possible dose bolus (also of other common opioids)
- Bolus calculation on the basis of an opioid (including boluses are displayed with other common opioids)
2 infusion calculation
- Enter the (aqueous) solution for infusion on total amount , amount of active ingredient or active ingredient concentration
- Enter the pass rate on amount of drug infusion amount, drip rate (also with a dropclicker) or runtime
- Input of active agent bolus or infusion bolus
- Output of the entire regime including duration at 1 to 6 boluses
3 conversion of corticosteroids
- Conversion on the basis of glucocorticoid potency with effective length specification
Only access to network configuration is required (due to the software) .
When you first start the app loads a bit lazy.
Possible opioids :
alfentanil iv buprenorphine enterally , buprenorphine parenterally , buprenorphine transdermal, codeine , dihydrocodeine enterally , dihydrocodeine parenterally , fentanyl enterally , fentanyl parenterally, fentanyl transdermally , hydromorphone enterally , hydromorphone parenterally, hydromorphone epidural , hydromorphone spinal, methadone , meptazinol , morphine enterally , morphine sc , iv morphine , morphine epidural , spinal morphine , nalbuphine , oxycodone enteral, oxycodone parenterally, pethidine , piritramide , iv remifentanil , sufentanil iv , tapentadol , tilidin , tramadol
Possible corticosteroids :
betamethasone, cloprednol , cortisone (acetate) , deflazacort , dexamethasone, fludrocortisone , fluocortolone , hydrocortisone ( cortisol) , methylprednisolone , prednisone , prednisolone , triamcinolone
Created with :
jQuery mobile, PhoneGap , jQuery Keypad by Keith Wood, FT fastclick.
This app will come in handy for medical students, interns, pain management teams, and anyone who will need to quickly and easily calculate these conversions.
Equianalgesic conversions used in this calculator are based on the American Pain Society guidelines and critical review papers regarding equianalgesic dosing.
Opioids and opiates included:
If you have suggestions for other drugs to add, or information to include in the app, email me!
Opioids have a narrow therapeutic window - dose adjustments should be made by an experienced clinician. This calculator is not a substitute for clinical experience and must be used in conjunction with reasonable clinical judgment. For more information, please view the website disclaimer.
STAT Intubation is an excellent reference during an emergency or code situation. Doctors, nurses, paramedics and other healthcare providers who deal with emergent airways will appreciate how STAT Intubation simplifies the medication delivery system.
A research group conducted a systematic review to identify evidence from the literature regarding use of opioids for chronic non-cancer pain. The researchers drafted initial recommendations for practice that underwent structured review by a multidisciplinary National Advisory Panel that included 49 individuals from across Canada providing medical expertise in family medicine, pain and addiction, patient perspectives, and views of other healthcare providers. After four rounds of a structured review process, the National Advisory Panel achieved consensus on 24 recommendations for practice included in the Canadian Guideline.
The practice recommendations in the Canadian Guideline will assist physicians to use opioids effectively and safely for chronic non-cancer pain. This clinical practice guideline will also help patients to be informed about the potential benefits and risks of opioids, and enable other healthcare providers to be aware of roles they can play to achieve desired patient outcomes.
The goal of the National Opioid Use Guideline Group was to develop and implement into practice, advice for physicians to effectively manage patients with chronic non-cancer pain and to prescribe opioids in a safe and effective manner. Guideline development is complete and implementation activities are underway or planned for 2010 and 2011.
While these medications can be an essential part of effective medical care, there are also increasing reports of adverse effects, addiction, and deaths associated with opioid therapies.
This app brings together information currently available to clinicians, but which can be difficult to locate in a search or requires a clinician to do multiple searches to find information that could be helpful in safe and effective use of these medications.
This app includes:
+Information on the assessment of pain including universal precautions to be used for patients receiving opioids
+Information on opioid management including links to medical guidelines on clinical use in treatment of chronic pain (e.g.: VA/DoD Clinical Practice Guidelines)
+An example of a treatment agreement
+A discussion of opioid side effects
+Several clinical tools for assessing level of pain, depression, and risk of opioid abuse are provided
+Examples for ongoing clinical assessments of pain are included
+Links to guidelines for treatment of specific pain conditions
+Contact information for organizations that may be able to provide further information or assistance
This app was developed with support from the Substance Abuse and Mental Health Services Administration through the Prescribers' Clinical Support System for Opioid Therapies.
Technical support was provided by the TeleHealth & Mobile unit of the School of Medicine, University of California, San Francisco.
- Calculadoras testadas para las principales fórmulas médicas: aclaramiento de creatinina, IMC, hiponatremia, hipernatremia...
- Herramientas de conversión: Equivalencias de corticoides, opiáceos...
- Escalas: Índice de Barthel, Escala de Glasgow, Pfeiffer...
- Notas breves sobre los principales protocolos médicos.
Esta aplicación no requiere de permisos especiales, está diseñada para consumir muy pocos recursos, y es compatible con prácticamente todos los dispositivos.