Unit 4 Important Numbers

Question 1

Edrophonium Dose

Answer 1

• 0.5-1mg/kg
• Max: 1-1.5mg/kg

Question 2

Neostigmine Dose

Answer 2

• 40 - 70 µg/kg (50 µg/kg is typical)
• MAX: 60 - 80 µg/kg

Question 3

Atropine Sulfate Dose

Answer 3

• 7-10 mcg/kg

Question 4

Glycopyrolate (Robinol) Dose

Answer 4

• 7-15 mcg/kg
• Give over 2-3 minutes

Question 5

Sugammadex Dose

Answer 5

• Moderate Block (TOF 2/4): 2 mg/kg
• Deep Block (TOF 0/4): 4 mg/kg - Extreme Block: (TOF 0/4): 8-16mg/kg
  -No Post Tetanic Stimulation

Question 6

Other: Mivacurium / Gantacurium Reversals

Answer 6

• Mivacurium: Purified Human Plasma Cholinesterase
• Gantacurium: Cysteine

Question 7

Local Anesthetic Strength (% to msg/mL): 0.25%

Answer 7

2.5 mg/mL

Question 8

Local Anesthetic Strength (% to msg/mL): 0.5%

Answer 8

5 mg/mL

Question 9

Local Anesthetic Strength (% to msg/mL): 1%

Answer 9

10 mg/mL

Question 10

Local Anesthetic Strength (% to msg/mL): 2%

Answer 10

20 mg/mL

Question 11

Local Anesthetic Strength (% to msg/mL): 4%

Answer 11

40 mg/mL

Question 12

Procaine (Potency/Lipid Solubility):

Answer 12

1 / 0.6

Question 13

Chloroprocaine (Potency/Lipid Solubility):

Answer 13

4 / NA

Question 14

Tetracaine(Potency/Lipid Solubility):

Answer 14

16 / 80

Question 15

Lidocaine (Potency/Lipid Solubility):

Answer 15

1 / 2.9

Question 16

Prilocaine (Potency/Lipid Solubility):

Answer 16

1 / 0.9

Question 17

Mepivacaine (Potency/Lipid Solubility):

Answer 17

1 / 1

Question 18

Bupivacaine (Potency/Lipid Solubility):

Answer 18

4 / 28

Question 19

Levobupivacaine (Potency/Lipid Solubility):

Answer 19

4 / NA

Question 20

Ropivacaine (Potency/Lipid Solubility):

Answer 20

4 / NA

Question 21

Procaine pKa:

Answer 21

8.9

Question 22

Chloroprocaine pKa:

Answer 22

8.7

Question 23

Tetracaine pKa:

Answer 23

8.5

Question 24

Lidocaine pKa:

Answer 24

7.9

Question 25

Prilocaine pKa:

Answer 25

7.9

Question 26

Mepivacaine pKa:

Answer 26

7.6

Question 27

Bupivacaine pAk:

Answer 27

8.1

Question 28

Levobupivacaine pKa:

Answer 28

8.1

Question 29

Ropivacaine pKa:

Answer 29

8.1

Question 30

Methylene Blue Dose

Answer 30

• 1-2 mgs/kg IV over 5 mins
• Total dose not to exceed 7 to 8 mg/kg

Question 31

Benzocaine Dose for Tropical Anesthesia of Mucous Membrane

Answer 31

• “Brief Spray 20%” ; 200-300mgs
• “Only need 1 Spray”

Question 32

ELMA Composition

Answer 32

Lidocaine 2.5% & Prilocaine 2.5%

Question 33

ELMA Dose:

Answer 33

1-2g/10cm sq.

Question 34

Subarachnoid Block:

Answer 34

Based on Height:
- 5 Ft = 1 mL of 0.75% Bupivacaine
- +0.1mL of every inch above

Question 35

SQ Infiltration Solutions:

Answer 35

Diluted Lido: 0.05% to 0.10%
Epi: 1:100,000: 10mcg/mL

Question 36

SQ Infiltration: Regional Anesthesia Lidocaine w/EPI

Answer 36

7 mg/kg

Question 37

SQ Infiltration: Highly diluted Lidocaine w/ Tumescent

Answer 37

35 to 55 mg/kg

Question 38

Procaine: Protein Binding % & Duration After Infiltration

Answer 38

6 ; 45-60 mins

Question 39

Tetracaine: Protein Binding % & Duration After Infiltration

Answer 39

76; 60-180 mins

Question 40

Lidocaine: Protein Binding % & Duration After Infiltration

Answer 40

70; 60-120 mins

Question 41

Prilocaine: Protein Binding % & Duration After Infiltration

Answer 41

55 ; 60-120 mins

Question 42

Mepivacaine: Protein Binding % & Duration After Infiltration

Answer 42

77 ; 90-180 mins

Question 43

Bupivacaine: Protein Binding % & Duration After Infiltration

Answer 43

95; 240-480 mins

Question 44

Levobupivacaine: Protein Binding % & Duration After Infiltration

Answer 44

> 97; 240-480 mins

Question 45

Ropivacaine: Protein Binding %

Answer 45

94; 240-480 mins

Question 46

Esters Potencys:
-Procaine
-Chloroprocaine
-Tetracaines

Answer 46

-Procaine: 1
-Chloroprocaine: 4
-Tetracaines: 16

Question 47

Amide Potencys:
- Lidocaine
- Prilocaine
- Mepivacaine
- Bupivacaine
- Levobupivacaine
- Ropivacaine

Answer 47

• Lidocaine: 1
• Prilocaine: 1
• Mepivacaine: 1
• Bupivacaine: 4
• Levobupivacaine: 4
• Ropivacaine: 4