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Drug Conversions
Basic math/conversions for blocks/epi
% concentration | Grams / 100 mL |
1gm = | 1000 mg / 1,000,000 mcg |
1mg = | 0.001gm /1000 mcg |
1% Lido = | 1 gm / 100 mL |
Converting 1 % (or 0.5, 1.5, 2%) into mg/mL (expanded) | 1% = 1gm/100mL= 1000mg/100mL= 10mg/mL |
Converting 1 % (or 0.5, 1.5, 2%) into mg/mL (short hand trick) | Move decimal one space to the RIGHT |
mg/mL to % (decimal trick) | one decimal the the LEFT |
1/2% = | 0.5% (5mg/ml) |
1/4% = | 0.25% = 2.5 mg/ml |
1/8% = | 0.125% = 1.25mg/ml |
1/16% = | 0.0625% = 0.625mg/ml |
1/32% = | 0.03125% = 0.3125mg/ml |
STOCK EPI 1:1000 | 1 gram in 1000 mL = 1000 mg/1000mL =1mg/ml =1000mcg/ml |
Epi Conc. to mg/ml and mcg/ml 1/1000 | 1mg/ml 1000mcg/ml |
1/10,000 Epi Conc. to mg/ml and mcg/ml | .1/1 100/1 |
1/100,000 Epi Conc. to mg/ml and mcg/ml | 0.01/1 10/1 |
1/200,000 Epi Conc. to mg/ml and mcg/ml | 0.005/1 5/1 |
1/400,000 Epi Conc. to mg/ml and mcg/ml | 0.0025/1 2.5/1 |
1/500,000 Epi Conc. to mg/ml and mcg/ml | 0.0020/1 2/1 |
Toxic Dose with Epi/without/max single dose Lidocaine | 7 5 500 |
Toxic Dose with Epi/without/max single dose Mepivacaine | 7 5 500 |
Toxic Dose with Epi/without/max single dose Chloroprocaine | 14 12 1000 |
Toxic Dose with Epi/without/max single dose Bupivacine | 3 2 225 |
Toxic Dose with Epi/without/max single dose Levobupivacaine | 3.2 2.5 N/A |
Toxic Dose with Epi/without/max single dose Ropivcaine | 3.5 3 N/A |
Toxic Dose with Epi/without/max single dose Tetracaine | 3 1-2 200 |
Why add epinephrine to local anesthetic | Decreases blood flow to area (vasoconstriction) and blocks uptake (Should drug accidentally be administered to vascular system, decreases chances of it going to brain/other organs). Decreases the washing away of local |
Lidocaine in the Brain causes | seizures |