Back to Question 41Back to Question 41

Local Anesthetic
Agent

MRD of Anesthetic by Body Weight

MRD of Anesthetic if greater than 150 lbs.

MRD of Anesthetic in Cartridges

MRD of Vasoconstrictor in mg and Cartridges

Healthy Adult

MRD of Vasoconstrictor in mg and Cartridges

Medically Compromised Adult

3% Mepivacaine
(Carbocaine, Polocaine, etc.)

2.0mg/lb

300 mg

5.5

no vasoconstrictor

no vasoconstrictor

4% Prilocaine
(infiltration)
(Citanest plain)

2.7mg/lb

400 mg

5.5

no vasoconstrictor

no vasoconstrictor

2% Lidocaine
1:100,000 epi
(Xylocaine, Octocaine, etc.)

2.0mg/lb

300 mg

8

0.2 mg/8 cartridges

0.04 mg/2 cartridges

2% Lidocaine
1:50,000 epi

2.0 mg/lb

300 mg

5.5 (epinephrine is dose limiting factor)

0.2 mg/5.5 cartridges

0.04 mg/1 cartridge

2% Mepivacaine
1:20,000 Levonordefrin

2.0 mg/lb

300 mg

8

1 mg/8 cartridges

0.2 mg/2 cartridges

4% Prilocaine
(nerve block)

2.7 mg/lb

400 mg

5.5

no vasoconstrictor

no vasoconstrictor

4% Prilocaine
1:200,000 epi
(Citanest Forte)

2.7 mg/lb

400 mg

5.5

0.2 mg/5.5 cartridges

0.04 mg/4 cartridges

1.5% Etidocaine
1:200,000 epi
(Duranest)

3.6 mg/lb

400 mg (MRD is reached at greater than or equal to 110 lb)

15

0.2 mg/15 cartridges

0.04 mg/4 cartridges

.5% Bupivacaine
1:200,000 epi
(Marcaine)

0.6 mg/lb

90 mg

10

0.2 mg/10 cartridges

0.04 mg/4 cartridges
Back to Question 41Back to Question 41