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.
Join us for a unique adventure in the Nevada desert-exploring the untouched natural beauty of the Colorado River; the historic man-made wonders of spectacular Hoover Dam; the new Mike O'Callaghan Pat Tillman Memorial Bridge spanning the river's gorge, a relaxing flow through Black Canyon to Lake Mohave.pectacular views from the Colorado River. This is absolutely the best photo opportunity of the Hoover Dam and Colorado River! The Hoover Dam Postcard Tour meets just outside of Boulder City in the NPS parking area on Hwy. 93, on the far west end of the Hoover Dam Lodge at 10:30 am.