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Maximum Dental Cartridges Calculation

The maximum number of dental cartridges containing lidocaine 2% and epinephrine 1:100,000 that can be administered to an ASA I patient based solely on the epinephrine dose is 11 cartridges. The calculation involves converting the maximum recommended epinephrine dose of 0.2 mg to the number of 1.8 ml cartridges based on the epinephrine concentration in each cartridge. This summary does not consider the maximum dose of the local anesthetic lidocaine.

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132 views1 page

Maximum Dental Cartridges Calculation

The maximum number of dental cartridges containing lidocaine 2% and epinephrine 1:100,000 that can be administered to an ASA I patient based solely on the epinephrine dose is 11 cartridges. The calculation involves converting the maximum recommended epinephrine dose of 0.2 mg to the number of 1.8 ml cartridges based on the epinephrine concentration in each cartridge. This summary does not consider the maximum dose of the local anesthetic lidocaine.

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anubhutigupta1404
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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DH 255 Homework Problem One way to solve the problem: You have elected to anesthetize your patient with

h lidocaine 2%, epinephrine 1:100,000. The patient is ASA I. With respect to the vasoconstrictor only, what is the maximum number of dental cartridges that you can administer to your patient? (All we are really doing is converting 0.2 mg epi to dental cartridges. This is the same type of problem as if one were asked how many seconds are there in one year?) 60 sec x 60 min x 24 hr x 365 day = 1 min 1 hr 1 day 1 year One way to solve the homework problem: Things you need to know: Volume of a dental cartridge: 1 cartridge = 1.8 ml (1.8ml is the volume of solution in every dental cartridge available in the U.S.A. ) Concentration of epinephrine: 1:100,000 means 1(part) epi to every 100,000 (parts) solution (given in the problem, also written on the label of the dental cartridge) 1ml H2O = 1gm H2O = 103mg H2O = 1 cc H2O (This is the basis of the metric system. We will assume these relationships are the same for local anesthetic solution as they are for pure water.) Maximum recommended dose in milligrams (AHA guidelines, you memorized these) ASA I, II = 0.2 mg per appointment ASA III, IV = 0.04 mg per appointment 0.2 mg epi x 105 mg soln x 1 ml soln x 1 cart 1 mg epi 103 mg soln 1.8 ml soln = 2x10-1 x 105 cartridges 1.8 x 103 = 20 cartridges 1.8 = 11.1 cartridges Look at the answer. That means that for a healthy (ASA I or ASA II) patient, they could have just over 11 cartridges of this particular local anesthetic solution and not exceed the maximum recommended dose of epinephrine. This answer tells us nothing about if we have exceeded the maximum dose for the other drug in the cartridge: local anesthetic. 31536000 sec/year

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