AKT-3031

AKT-3031

You are asked to do a home visit to an elderly terminally ill cancer patient.
She has deteriorated considerably over the last week and following discussion with the patient and palliative care nurse it is decided to put the patient on a syringe driver to administer medication.
On reviewing her drug chart she is receiving 20 mg of modified-release oral oxycodone twice daily.
Which of the following is the nearest equivalent dose of diamorphine that should she be given via the syringe driver over 24 hours?

BNF Equivalent doses
Analgesic: Route Dose
Codeine: PO 100 mg
Diamorphine: IM, IV, SC 3 mg
Dihydrocodeine: PO 100 mg
Hydromorphone: PO 2 mg
Morphine: PO 10 mg
Morphine: IM, IV, SC 5 mg
Oxycodone: PO 6.6 mg
Tramadol: PO 100 mg

PO = by mouth; IM = intramuscular; IV = intravenous; SC = subcutaneous