# Dosing Flashcards

1
Q

Maximum dose for 3% mepivacaine without epi.
Kids:

A

400 mg

6.6 mg/kg

2
Q

Maximum dose for 2% lidocaine with 1:100,000 epi.
Kids:

A

500 mg

7mg/kg

3
Q

Maximum dose for 4% articaine with 1:100,000 epi.
Kids:

A

700 mg

5mg/kg

4
Q

Maximum dose for 0.5% bupivacaine with 1:200,000 epi.
Kids:

A

90 mg

2mg/kg

5
Q

Each cartridge of local anesthesia contains approximately _____ of solution.

A

1.7 mL

6
Q

1 percent of local anesthesia is equivalent to ____ mg/ml

A

1% = 10mg/ml

7
Q

Vasoconstrictor is given as a ratio. 1:100,000 solution contains how much vascoconstricor?

A

0.01 mg/ml

8
Q

1:200,000 solution contains _____ mg/ml of vasoconstrictor.

A

0.005 mg/ml

9
Q

1 cc of anesthesia is equal to ____ mL.

A

1

10
Q

What is the maximum safe dose of epinephrine in a healthy adult during a single dental appointment?

A

0.2 mg

11
Q

What is the maximum safe dose of epinephrine for an adult with cardiac disease or severe hypertension?

A

0.04 mg

12
Q

Which local anesthesia has the longest soft tissue effect?

A

0.5% bupivicaine lasts 4-10 hours

13
Q

Which local anesthesia has the shortest soft tissue effects?

A

3% mepivacaine lasts 30-60 minutes

14
Q

How long does lidocaine last in soft tissues? Pulp?

A

soft: 2-4 hours
pulp: 60-90 mins

15
Q

For a 90kg child, what is the maximum dosage in mg for 2% lidocaine?

A

500mg

(90 kg) (7mg/kg) = 630 mg….but you still cannot exceed 500 mg

16
Q

True or False: Local Anesthetics cross the blood-brain barrier.

A

True

17
Q

True or False: A minimal LA overdose (less than 5 micrograms) will cause a depression of blood pressure.

A

False,
Minimal overdose = elevation of BP and HR
High overdose = depression of BP and HR

18
Q

What type of seizures can occur due to a moderate to high LA overdose?

A

tonic-clonic seizures

convulsive

19
Q

On which does LA have a greater affect: CNS or CVS?

A

CNS > CVS

20
Q

Low levels of lidocaine (1.8-5 micrograms) can ______ premature ventricular contractions (PVCs).

A

treat

21
Q

For which (3) injections will you give an entire cartridge?

A
1. Gow Gates (Mandibular)
2. V2 (Maxillary)
3. IANB (Mandibular)
22
Q

For which injections will you give 1/3 cartridge (~0.6mL)?

A

Supraperiosteal (infiltration)
Mental Block
Incisive Block

23
Q

For which injections will you give 1/2 (~0.9mL)?

A

PSA

ASA (infraorbital)

24
Q

How much LA is given for a Greater Palatine injection?

A

1/4 cartridge (~0.45 mL)

25
Q

How much LA is given for a Nasopalatine injection?

A

0.2 mL

26
Q

How much LA is given for a PDL injection?

A

0.2 mL PER ROOT (ex. Max molars = 3 x 0.2)

27
Q

How much LA is given for an intraseptal injection?

A

0.2 - 0.4 mL over a period of 20 seconds

28
Q

______ injection has the highest positive aspiration rate. Followed by the ______ injection.

A
```IANB (11-15%)
Long Buccal (~10%)```
29
Q

Type I allergies are ______ induced and occur within _____.

A

antigen-induced

seconds/minutes

30
Q

Type IV allergies are ______ mediated and occur within ______.

A

cell-mediated (CD4+ T cells with MH-Complexes)

48 hours