LA - Ropivacaine Flashcards
What is the maximum infiltration dose of Ropivacaine?
A) 100 mg
B) 150 mg
C) 200 mg
D) 250 mg
C) 200 mg
In a regional preparation of Ropivacaine, which of the following concentrations is typically used?
A) 0.1% or 0.5% with or without epi 1:200,000 in 30 mL syringe
B) 0.2% or 0.5% with or without epi 1:200,000 in 20 mL syringe
C) 0.3% or 0.5% with or without epi 1:200,000 in 40 mL syringe
D) 0.4% or 0.5% with or without epi 1:200,000 in 50 mL syringe
B) 0.2% or 0.5% with or without epi 1:200,000 in 20 mL syringe
(We use Ropivacaine for blocks at ARMC)
What is the concentration of Ropivacaine used in the CLE infusion?
A) 0.10% with 2 mcg/mL fentanyl
B) 0.15% with 2 mcg/mL fentanyl
C) 0.20% with 5 mcg/mL fentanyl
D) 0.25% with 5 mcg/mL fentanyl
B) 0.15% with 2 mcg/mL fentanyl
(L&D nurse will have for you to hook up)
What is the typical bolus volume of CLE for a patient, depending on their size and height?
A) 4-6 mL
B) 5-7 mL
C) 6-8 mL
D) 7-9 mL
Answer: C) 6-8 mL
What is the volume of 0.2% Ropivacaine used in the post-CLE dose for breakthrough pain?
(dose after CLE is running when the patient has breakthrough pain)
A) 2 mL with 4 mL 5% Lidocaine
B) 4 mL with 4 mL 2% Lidocaine
C) 6 mL with 4 mL 5% Lidocaine
D) 8 mL with 4 mL 2% Lidocaine
B) 4 mL with 4 mL 2% Lidocaine
For peripheral nerve blocks (PNB) using Ropivacaine with 1:200,000 epinephrine, what is the recommended maximum single dose?
A) 200 mg
B) 225 mg
C) 250 mg
D) 275 mg
Answer: C) 250 mg
What is the duration of action for Ropivacaine when used in a peripheral nerve block (PNB)?
A) 120-180 minutes
B) 240-360 minutes
C) 300-480 minutes
D) 360-600 minutes
Answer: C) 300-480 minutes
What is the concentration range of Ropivacaine typically used for epidural anesthesia?
A) 0.2-0.5%
B) 0.3-0.7%
C) 0.5-1%
D) 0.8-1.5%
Answer: C) 0.5-1%
What is the recommended maximum single dose of Ropivacaine for epidural anesthesia?
A) 150 mg
B) 175 mg
C) 200 mg
D) 225 mg
C) 200 mg
What is the concentration range of Ropivacaine used for a Popliteal block?
A) 0.1-0.3%
B) 0.2-0.5%
C) 0.3-0.6%
D) 0.4-0.7%
Answer: B) 0.2-0.5%
What information is available about the use of Ropivacaine for spinal anesthesia in terms of concentration, onset, duration, and maximum dose?
A) Concentration, onset, duration, and maximum dose information is available
B) Only concentration information is available
C) No information is available
D) Only maximum dose information is available
Answer: C) No information is available
For an Interscalene block at ARMC, what is the bolus dose of Ropivacaine?
A) 10 mL
B) 15 mL
C) 20 mL
D) 25 mL
Answer: C) 20 mL
What is the mechanism of action (MOA) for the local anesthetic described?
A) Ester
B) Amide
C) Ketone
D) Alcohol
Answer: B) Amide
What is the onset time of the local anesthetic?
A) Fast
B) Moderate
C) Slow
D) Immediate
C) Slow
At physiological pH (7.4), what percentage of Ropivacaine is in its non-ionized form?
A) pk 7.5, 5%
B) pK 8.1, 17%
C) pk 7, 30%
D) pk 8.6, 50%
B) pk 8.1, 17%
94% ɑ1-acid glycoprotein.
