SPINAL DOSING CHART Flashcards
Lidocaine 5%
-T10 dose
-T4 dose
T10: 50-75mg
T4: 75-100mg
Spinal
Lidocaine 5%
-Onset
-DOA
-DOA + Epi
Onset: 3-5 min
DOA: 60-70 min
DOA + Epi: 75-100min
Spinal
Bupivacaine 0.5-0.75%
-T10 dose
-T4 Dose
T10: 8-15mg
T4: 12-20mg
Spinal
Bupivacaine 0.5-0.75%
-onset
-DOA
-DOA + Epi
Onset: 4-8min
DOA: 90-110 min or 1.5-2hr (some sources up to 220min)
DOA + Epi: + 20-50% longer up to 2-3hr
Spinal
Tetracaine 0.5-1.0%
-T10 dose
-T4 dose
T10: 6-10mg
T4: 12-16mg
- for HYPObaric spinal, dilute with sterile water to a 0.3% solution
Spinal
Tetracaine 0.5-1.0%
-onset
-DOA
-DOA + Epi
Onset: 3-5min
DOA: 70-120min
DOA + Epi: + 20-50% longer
*for a HYPObaric spinal, dilute with sterile water to a 0.3% solution
Spinal
Mepivacaine 2%
-T10 dose
-T4 dose
T10: n/a
T4: 60-80mg
Spinal
Mepivacaine
-onset
-DOA
-DOA + Epi
Onset: 2-4min
DOA: 140-200min
DOA + Epi: n/a
Spinal
Ropivacaine 0.5-1.0%
-T10 dose
-T4 dose
T10: 12-18mg
T4: 18-25mg
Spinal
Ropivacaine 0.5-1.0%
-onset
-DOA
-DOA + Epi
Onset: 3-8min
DOA: 140-200 min
DOA + Epi: N/A
Spinal
Levobupivacaine 0.5%
-T10 dose
-T4 dose
T10: 10-15mg
T4: 12-20mg
Spinal
Levobupivacaine 0.5%
-onset
-DOA
-DOA + Epi
Onset: 4-8min
DOA: 135-170 min or 2-3hr (some sources up to 230min)
DOA + Epi: N/A
Spinal
2-Chloroprocaine 3.0%
-T10 dose
-T4 dose
T10: 30-40 mg
T4: 40-60 mg
Spinal
2-Chloroprocaine 3%
-onset
-DOA
-DOA+Epi
Onset: 2-4 min
DOA: 40-120 min
DOA + Epi: 130-170min
Intrathecal Fentanyl
-dose
-onset
-DOA
Dose: 15-25mcg
Onset: 5-10min
DOA: 2-4hr
Spinal
Intrathecal Morphine
-dose
-onset
-DOA
Dose: 0.1-0.5mg
Onset: 60-90min
DOA: 18-27hr
Intrathecal Sufentanil
-dose
-onset
-DOA
Dose: 2-4mg
Onset: 5-10min
DOA: 2-4hr
Which LA will you need to dilute with sterile water to make a HYPObaric spinal solution of 0.3%?
Tetracaine