Neuraxial Pharm Dosages

Question 1

What additives to spinals make them hyperbaric? Isobaric? Hypobaric?

Answer 1

Hyper = Dextrose
Iso = saline
Hypo = water

Question 2

What is the SAB concentration, T10 dose, T4 dose, onset, and duration (plain and with epi if applicable) of Bupivacaine?

Answer 2

Concentration = 0.5 - 0.75%
T10 = 10 - 15 mg
T4 = 12 - 20 mg
Onset = 4 - 8 min
Plain = 130 - 220 min, (+ 20 - 50% w/epi)

Question 3

What is the SAB concentration, T10 dose, T4 dose, onset, and duration (plain and with epi if applicable) of Levobupivacaine?

Answer 3

Concentration = 0.5%
T10 = 10 - 15 mg
T4 = 12 - 20 mg
Onset = 4 - 8 min
Plain = 140 - 220 min (no epi)

Question 4

What is the SAB concentration, T10 dose, T4 dose, onset, and duration (plain and with epi if applicable) of Ropivacaine?

Answer 4

Concentration = 0.5 - 1%
T10 = 12 - 18 mg
T4 = 18 - 25 mg
Onset = 3 - 8 min
Plain = 80 - 210 min (no epi)

Question 5

What is the SAB concentration, T10 dose, T4 dose, onset, and duration (plain and with epi if applicable) of 2-3 Chloroprocaine?

Answer 5

Concentration = 3%
T10 = 30 - 40 mg
T4 = 40 - 60 mg
Onset = 2 - 4 min
Plain = 40 - 90 min (no epi)

Question 6

What is the SAB concentration, T10 dose, T4 dose, onset, and duration (plain and with epi if applicable) of Tetracaine?

Answer 6

Concentration = 0.5 - 1%
T10 = 6 - 10 mg
T4 = 12 - 16 mg
Onset = 3 - 5 min
Plain = 90 - 120 min (+ 20 - 50% w/epi)

Question 7

What is the epidural concentration, onset and duration of 2-3 Chloroprocaine?

Answer 7

Concentration = 3%
Onset = 5 - 15 min
Duration = 30 - 90 min

Question 8

What is the epidural concentration, onset and duration of Lidocaine?

Answer 8

Concentration = 2%
Onset = 10 - 20 min
Duration = 60 - 120 min

Question 9

What is the epidural concentration, onset and duration of Ropivacaine?

Answer 9

Concentration = 0.1 - 0.75%
Onset = 15 - 20 min
Duration = 140 - 220 min

Question 10

What is the epidural concentration, onset and duration of Bupivacaine?

Answer 10

Concentration = 0.0625 - 0.5%
Onset = 15 - 20 min
Duration = 160 - 220 min

Question 11

What is the epidural concentration, onset and duration of Levobupivacaine?

Answer 11

Concentration = 0.0625 - 0.5%
Onset = 15 - 20 min
Duration = 150 - 225 min

Question 12

What is the intrathecal dose, epidural dose and epidural infusion dose of Sufentanil?

Answer 12

ID = 5 - 10 mcg
ED = 25 - 50 mcg
EID = 10 - 20 mcg/hr

Question 13

What is the intrathecal dose, epidural dose and epidural infusion dose of Fentanyl?

Answer 13

ID = 10 - 20 mcg
ED = 50 - 100 mcg
EID = 25 - 100 mcg/hr

Question 14

What is the intrathecal dose, epidural dose and epidural infusion dose of Hydromorphone?

Answer 14

ID = N/a
ED = 0.5 - 1 mg
EID = 0.1 - 0.2 mg/hg

Question 15

What is the intrathecal dose, epidural dose and epidural infusion dose of Meperidine?

Answer 15

ID = 10 mg
ED = 25 - 50 mg
EID = 10 - 60 mg/hr

Question 16

What is the intrathecal dose, epidural dose and epidural infusion dose of Morphine?

Answer 16

ID = 0.25 - 0.3 mg
ED = 2 - 5 mg
EID = 0.1 - 1 mg/hr