Mary Lynn McPherson

speaker

498 appearances 2 recordings 1 series first heard Oct 2018 last heard Dec 2021

Mary Lynn McPherson’s voice in public audio — every appearance, attributed to the second.

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GeriPal - A Geriatrics and Palliative Medicine Podcast · All the Questions You Had About Opioids But Were Afraid To Ask: A Podcast with Mary Lynn McPherson · 5 Oct 2018 podcast

But no, I I don't agree with using two long actings.

I think you're just looking for trouble.

making sure that doing the conversion is the correct therapeutic thing to do.

Okay.

let's say you decide, yep, that's the right course of action.

Step number two is to calculate the total dilly dose of what the patient is currently getting.

So if they're getting oral long acting plus breakthrough, and you've got to be careful there because often people will tell me, oh, they're on MS Contin 30 Q twelve with Roxanol 10 Q two PRN

And I'll say how much are they using of the PRN?

I just told you, ten Q two.

I said, No, you told me the order.

You didn't tell me how much the patient is getting.

If you don't know how much the patient is getting, just leave it out of the equation.

So you wanna really be comfortable with the total daily dose of the current opioid the patient is receiving.

Absolutely.

So you if you do have the luxury of in a nursing home or assisted living, looking at an MAR, a medication administration record, or if the patient is at home, if they're keeping any diaries themselves, that's very beneficial.

But if it looks a little fishy, don't even include it.

Very important.

Then step three is the one that makes everybody wanna, you know, have a seizure, which is the actual ratio.

So the way I set up this equation is I put my uh everything on the left side of the ratio is real time data.

I put my unknown in the numerator, X milligrams of my new opioid by the preferred route of administration over the current opioid by whatever route of administration the patient is getting it.

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