Medications / Doses from spinal powerpoint - Exam 1

Question 1

Bupivacaine for spinal:
Concentration?
Dose T10?
Dose T4?

Answer 1

0.5-0.75%
10-15 mg
12-20 mg

Question 2

Bupivacaine for spinal:
Onset?
Duration?
Duration +epi?

Answer 2

4-8 min
130-220 min
+20-50%

Question 3

Levobupivacaine for spinal:
Concentration?
Dose T10?
Dose T4?

Answer 3

0.5%
10-15 mg
12-20 mg

Same dosing as bupivicaine

Question 4

Levobupivacaine for spinal:
Onset?
Duration?

Answer 4

4-8 min
140-230 min

Question 5

Ropivacaine for spinal:
Concentration?
Dose T10?
Dose T4?

Answer 5

0.5-1%
12-18 mg
18-25 mg

Question 6

Ropivacaine for spinal:
Onset?
Duration?

Answer 6

3-8 min
80-210 min

Question 7

2-Chloroprocaine for spinal:
Concentration?
Dose T10?
Dose T4?

Answer 7

3%
30-40 mg
40-60 mg

Question 8

2-Chloroprocaine for spinal:
Onset?
Duration?

Answer 8

2-4 min
40-90 min

Question 9

Tetracaine for spinal:
Concentration?
Dose T10?
Dose T4?

Answer 9

0.5-1%
6-10 mg
12-16 mg

Question 10

Tetracaine for spinal:
Onset?
Duration?
Duration +epi?

Answer 10

3-5 min
90-120 min
+20-50%

Question 11

2-Chloroprocaine for epidural:
Concentration?
Onset?
Duration?

Answer 11

3%
5-15min
30-90

Question 12

Lidocaine for epidural:
Concentration?
Onset?
Duration?

Answer 12

2%
10-20
60-120

Question 13

Ropivacaine for epidural:
Concentration?
Onset?
Duration?

Answer 13

0.1-0.75%
15-20 min
140-220 min

Question 14

Bupivacaine for epidural:
Concentration?
Onset?
Duration?

Answer 14

0.0625-0.5%
15-20 min
160-220 min

Question 15

Levobupivacaine for epidural:
Concentration?
Onset?
Duration?

Answer 15

0.0625-0.5%
15-20 min
150-225 min

Question 16

Sufentanil:
Intrathecal dose?
Epidural dose?
Epidural infusion dose?

Answer 16

5-10 mcg
25-50 mcg
10-20 mcg/hr

Question 17

Fentanyl:
Intrathecal dose?
Epidural dose?
Epidural infusion dose?

Answer 17

10-20 mcg
50-100 mcg
25-100 mcg/hr

Question 18

Hydromorphone:
Epidural dose?
Epidural infusion dose?

Answer 18

0.5-1 mg
0.1-0.2 mg/hr

Question 19

Meperidine:
Intrathecal dose?
Epidural dose?
Epidural infusion dose?

Answer 19

10 mg
25-50 mg
10-60 mg/hr

Question 20

Morphine:
Intrathecal dose?
Epidural dose?
Epidural infusion dose?

Answer 20

0.25-0.30 mg
2-5 mg
0.1-1 mg/hr

Question 21

Pruritis treatment doses?

Answer 21

Benadryl 25-50 mg IV
Naloxone 0.1 mg IV
Buprenex

Question 22

Pruritis prophylaxis doses?

Answer 22

Ondansetron 4 mg IV
Nubain 2.5-5 mg IV
Minimize dose of morphine <300 mcg

Question 23

Neuraxial adjunct resp. depression naloxone dose?

Answer 23

0.1-0.2 mg

Question 24

Neuraxial adjunct nausea/urinary retention treatment doses?

Answer 24

Ondansetron
Naloxone 0.1 mg
Phenergan 12.5-25 mg IM

Question 25

Neuraxial adjunct A2 agonist doses?

Answer 25

Dexmedetomidine 3 mcg Clonidine 15-45 mcg

Question 26

Neuraxial adjunct vasoconstrictor doses?

Answer 26

Epi 0.2-0.3 mg "epi wash" Phenylephrine 2-5 mg

Question 27

When do you hold aspirin for high/intermediate risk procedures?

Answer 27

4-6 days

Question 28

When do you hold NSAIDS for high risk procedures?

Answer 28

Hold 5 half-lives

Question 29

When would you hold NSAIDS for intermediate risk procedures?

Answer 29

Cervical ESI and stellate ganglion block

Question 30

Tirofiban and Eptifibatide holding time

Answer 30

4-8 hrs

Question 31

Abciximab holding time

Answer 31

24-48 hrs

Question 32

Clopidogrel holding time

Answer 32

5-7 hrs

Question 33

Prasugrel holding time

Answer 33

7-10 days

Question 34

Ticlopidine holding time

Answer 34

10 days

Question 35

Unfractionated heparin holding times: Low dose? Higher dose? Therapeutic dose?

Answer 35

4-6 hrs (<5,000 U) 12 hrs (<20,000 U daily) 24 hrs (>20,000 U daily or in pregnant pts)

Question 36

LMWH holding times: How long after prophylactic dose? How long after therapeutic dose?

Answer 36

12 hrs 24 hrs

Question 37

When do you hold warfarin before regional anesthesia? What should their INR be?

Answer 37

5 days <1.5

Question 38

When do you hold direct oral anticoagulants before regional?

Answer 38

72 hrs before block

Question 39

Explain lipid emulsion therapy for LAST in someone over 70 kg

Answer 39

1. 100 ml bolus for 2-3 minutes 2. 250 ml infusion over 15-20 min 3. repeat or double if unstable 4. continue infusion until 15 min after stability regained

Question 40

Explain lipid emulsion therapy for LAST in someone under 70 kg

Answer 40

1. 1.5 ml/kg bolus for 2-3 min 2. 0.25 ml/kg/min infusion 3. repeat or double if unstable 4. continue infusion until 15 min after stability regained