Exam 7: Dose Calculations for Local Anesthetic Solutions

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Match the following: -Clark's rule

(Multiple Choice)
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A 120-pound patient received 108 mg of 2% lidocaine. How many mg of 4% articaine can this patient receive? Provide mathematical formulas to calculate the correct answer.

(Essay)
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The maximum recommended dose per appointment for bupivacaine is ________.

(Short Answer)
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A 150-pound patient has received two cartridges of 2% lidocaine, 1:100,000 epinephrine. How many additional cartridges with the same drugs can be administered before reaching the MRD?

(Multiple Choice)
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A 180-pound patient received 108 mg of 3% mepivicaine. How many cartridges were used? Provide mathematical formulas required to calculate the correct answer.

(Essay)
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A 10% solution contains one tenth of a milligram per milliliter or ________ mg/ml.

(Short Answer)
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Match the following: -Articaine

(Multiple Choice)
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Ralph weighs 175 lb. He has received 72 mg of 2% lidocaine. Ralph can receive a maximum of ________ mg additional lidocaine.

(Short Answer)
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A patient with cardiovascular disease has received one cartridge of 2% lidocaine, 1:100:000 epinephrine. How many milligrams of vasoconstrictor has this patient received? How many additional milligrams of vasoconstrictor can the patient receive before reaching MRD?

(Multiple Choice)
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Susan is a healthy patient and weighs 130 lb. She has received 54 mg of 3% mepivacaine. She could receive a maximum of _________ mg of 4% prilocaine, 1:200,000 epinephrine.

(Short Answer)
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Which of the following pieces of information is not usually required in order to calculate safe doses for local anesthetics and vasoconstrictors?

(Multiple Choice)
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What is the MRD of levonordefrin for a 210 pound male patient with ischemic heart disease?

(Multiple Choice)
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Match the following: -Levonordefrin

(Multiple Choice)
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The maximum safe dose of 1:200,000 epinephrine per appointment for a patient with ischemic heart disease is 0.4 mg or 1.1 cartridges.

(True/False)
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At a concentration of 0.5%, the amount of drug in a 1.8 ml cartridge is 9 mg.

(True/False)
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A 120-pound patient has received 2 cartridges of 2% mepivacaine, 1:20,000 and does not remain adequately numb during the procedure. How many additional cartridges of 2% lidocaine, 1:100,000 epinephrine may the patient receive before reaching the MRD?

(Multiple Choice)
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Match the following: -Cardiac dose

(Multiple Choice)
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