Epidural Drugs

Question 1

Bicarbonate

Answer 1

Bolus dose: 1mEq/10mL local anesthetic

Question 2

3% Chloroprocaine

Nesa-Chlor

Answer 2

Trade Name: Nesacaine

Bolus dose: 5mL 3% (150mg)
T4 dose: 10-20mL 3% (300-600mg)
Onset: Fastest

Tox Dose: 12mg/kg

Question 3

0.2% Ropivacaine

Naro-Ropi

Answer 3

Trade Name: Naropin

Bolus dose: 5-7mL 0.2% (10-14mg)

Infusion Rate: 6-14mL/hr (0.2%)

Onset: 10-15 mins

Tox Dose: 3mg/kg (with and without epi)

Question 4

2% Lidocaine

Answer 4

Trade name: Xylocaine

Bolus dose: 5mL 2% (100mg)
T4 dose: 10-20mL 2% (200-400mg)

Onset: A few mins

Tox Dose: 4 without 7 with Epi

Question 5

0.1-0.125% Bupivacaine

Bup-Mar

Answer 5

Trade name: Marcaine

Bolus dose: 5-7mL (0.1-0.125%)

Infusion rate: 8-15mL/hr (0.125%)

Onset: 10-15mins

0.1%: 5-7mg / 0.125%: 6.25-8.75mg

Tox Dose: 2 without 3 with Epi

Question 6

Fentanyl

Answer 6

Bolus dose: 50mcg
Infusion rate: 1mcg/mL in infusion bag

Question 7

Sufentanil

Answer 7

Bolus dose: 10-15mcg

Question 8

Duramorph

Answer 8

Bolus dose: 2-4mg

Question 9

Epinephrine

Answer 9

Infusion rate: 1-2mcg/mL in infusion bag