Step 1. Calculate the 24 hr morphine dose: 3 mg x 24 = 72 mg IV morphine/24 hrs; Step 2. Convert IV to oral morphine: at a ratio of 1 mg IV = 3 mg oral; thus 72 mg IV = 216 mg po/24 hours; Step 3. Convert the oral morphine dose to Duragesic - there are two methods: METHOD 1. Look in the PDR, find the morphine conversion table, it says that 135-224 mg of morphine = 50 mcg patch. Note, this range of morphine is very broad; 50% of patients will be under-dosed when this conversion table is used. METHOD 2. Use a ratio of MS:fentanyl of 100:1; 216mg/100/24hrs = 90 mcg/hr, can rounded to 75 mcg or 100 mcg patch.
The bridge is an engineering feat on its own and there is an informative foot path up to the bridge and a pedestrian walkway across it. You can get great photos of the bridge from Hoover Dam and of Hoover Dam from the bridge. Standing over that much air was a little unnerving for me, but still pretty neat.
Distance from Las Vegas to Hoover Dam. Hoover Dam is located approximately 34 miles (54.4 km) southeast of Las Vegas on the Nevada-Arizona border. Driving from Las Vegas strip to Hoover Dam. The Hoover Dam is about a 45 minute drive from the Las Vegas strip. To get there from the Vegas strip, drive east on Flamingo Road or Tropicana Avenue to U.S. 515 South, which automatically turns into US Highway I-93 South. Continue on US Highway 93 South for about 20 miles to Boulder City.