Spinal Drugs

Question 1

1% tetracaine

Pon-Tet

Answer 1

Trade Name: Pontocaine

Spinal Dose: 1mL (10mg) for T10
1.2-1.6mL (12-16mg) for T4

Duration: 2-3hrs w/o epi
Up to 6hrs w/epi

Tx dose: 3mg/kg

Question 2

0.75% bupivacaine

Bup-Mar

Answer 2

Trade Name: Marcaine

Spinal Dose: 1.4-1.6mL (10-12mg) for C-section
0.8mL (6mg) for vaginal delivery

Duration: 2-3hrs

Tox Dose: 2mg/kg without 3mg/kg with Epi

Question 3

1.5% mepivacaine

Mepi-Carbo-Polo

Answer 3

Trade Name: Carbocaine, Polocaine

Spinal Dose: 3.5mL (52.5 mg)

Duration: 1.5-2.5hrs

Tox Dose: 4mg/kg without and 7mg/kg with epi

Question 4

2% chloroprocaine

Nesa-Chlor

Answer 4

Trade Name: Nesacaine

Spinal Dose: 1.5-3mL (30-60mg)

Duration: ≈80 minutes w/o epi
2hrs w/epi

Tox does: 12mg/kg

Question 5

Fentanyl

Answer 5

Spinal Dose: 5-25 mcg

Duration: 3-4hrs

Question 6

Duramorph

Answer 6

Spinal Dose: 0.2-0.4mg

Duration: 12-24hrs

Question 7

Precedex

Answer 7

Spinal Dose: 5mcg

Question 8

Epinephrine

Answer 8

Spinal Dose: 200-300mcg

Question 9

Phenylephrine

Answer 9

Spinal Dose: 2-5mg

Question 10

Clonidine

Answer 10

Spinal dose: 75-150mg

Question 11

Sufentanil

Answer 11

Spinal dose: 2.5mcg if injected with local

5-10mcg if injected alone with dural puncture epidural technique