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Next Reply: Re:Methadone and prolonged QT/arrhythmias
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Post Methadone and prolonged QT/arrhythmias
Author: jcroen
Date: Jan 31, 2012 11:34 am
We have a young gentlemen on a dilaudid drip of 22mg/hr. He has a strong desire to go home but his opiate requirements are too high. Methadone has been suggested in the past but he has experienced arrhythmias and has a QT of 480. Any suggestions would be helpful
Replies: order by [Date] [Author] [Subject]
Re:Methadone and prolonged QT/arrhythmias (by yaegerj on 01/31/2012)
I am curious why he can't go home on the dilaudid at 22mg/hr. The dilaudid can be concentrated to 10mg/ml so volume and need for cassette changes etc would be minimized.
Re:Methadone and prolonged QT/arrhythmias (by jcroen on 02/01/2012)
Additional: Pt is having a lot of side effects: fatigue/confusion/muscle twitching. He is requiring a lot of breakthrough and does not want to go up on the the drip. We are looking for another option while he waits for Ketamine burst
Re:Methadone and prolonged QT/arrhythmias (by jcroen on 02/01/2012)
Additional: Pt is having a lot of side effects: fatigue/confusion/muscle twitching. He is requiring a lot of breakthrough and does not want to go up on the the drip. We are looking for another option while he waits for Ketamine burst

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