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Trifluoroacetic acid (2.6 mL, 35.53 mmol) was slowly added into the mixture

49 FIGURE 1 Levys Rule: Fentanyl patch dose (in mcg) = half of the TDD oral morphine Managing a Pain Crisis A pain crisis is a situation in which a patients pain is severe and uncontrolled, causing the patient, family, or both severe distress