Question

A 76-year-old man with metastatic lung cancer is on regular oral Morphine modified release 60 mg twice daily with good baseline pain control. He is now unable to swallow tablets. What is the most appropriate way to convert his opioid to a continuous subcutaneous infusion over 24 hours?

Accepted Answer

Convert to 60 mg subcutaneous Morphine over 24 hours

Answer

Stop Morphine and use no further opioids

Answer

Convert to 120 mg subcutaneous Morphine over 24 hours

Answer

Convert to 30 mg subcutaneous Morphine over 24 hours

Answer

Switch to an equianalgesic dose of oral Codeine

Practice question

A 76-year-old man with metastatic lung cancer is on regular oral Morphine modified release 60 mg twice daily with good baseline pain control. He is now unable to swallow tablets. What is the most appropriate way to convert his opioid to a continuous subcutaneous infusion over 24 hours?