Which Agent? (for Edu 505)
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Transcript of Which Agent? (for Edu 505)
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Which Anesthetic
to Use?
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Before you Load.....
Which Agent?
Vasoconstrictoror not?
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Local Anesthesia available (See Appendix 8-1 p. 141 text)
Drug Vasoconstrictor ColorBand
MRD Absolute MRD
Articaine 4% 1:100,000 Epi Gold 3.2 mg/lb 500 mg
Aritcaine 4% 1:200,000 Epi Silver 3.2 mg/lb 500
Lidocaine 2% Plain May no longer beavailable
Light Blue 2.0 mg/lb. 300 mg
Lidocaine 2% 1:50,000 Epi Green 2.0 mg/lb 300 mg
1:100,000 Epi Red 2.0 mg/lb 300 mg
1:200,000 Epi 2.0 mg/lb 300 mg
Mepivacaine 3% Plain Light Tan 2.0 mg/lb 300 mg
Mepivacaine 2% 1:20,000 Levonordefin Brown 2.0 mg/lb 300
Prilocaine 4% Plain Black 2.0 mg/lb. 300mg
Prilocaine 4% 1:200,000 Epi Yellow 2.7 mg/lb 400 mg
Bupivacaine 0.5% 1:200,000 Epi Royal Blue 0.6 mg/lb 90 mg
Information from The Handbook of Local Anesthesia, by Stanley Malamed. (2013)
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Different agents for different people!
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Consider yourpatients AGE
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Age, Liver Disease,Kidney Disease
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Patient Variation
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Health Conditions
Photo created by Dr. Tracy Zang using ToonDoo.com
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Bupivacaine 0.5%with 1:200,000 epi.
Marcaine
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Mepivacaine 3%
Mepivacaine 2%with 1:20,000Levonordefrin
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Case Ogre High Blood pressure 49 280 lbs Medication names
not known.
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Considerations Age of the patient Health conditions
HBp, Diabetes, Hyperthyroidism, Liver or kidney
disease Allergy to anesthetic, vasoconstrictor or
preservatives Drug abuse Contraindications to vasoconstrictor or local
anesthetic
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Local Anesthetic Agents in Use
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