im exhausted and can't think this one thru. any help please? thanks
if i gave 30 ml of 2% lidocaine with 1:100,000 epinephrine how many mg is that?
if i gave 30 ml of 2% lidocaine with 1:100,000 epinephrine how many mg is that?
im exhausted and can't think this one thru. any help please? thanks
if i gave 30 ml of 2% lidocaine with 1:100,000 epinephrine how many mg is that?
2% solution = 2g per 100ml, or 2000mg per
1:100,000 epi = .01mg/ml
.01mg x 30 = 0.3mg epi.
speaking of which, does anyone have any tips on giving LA?
Your epi dose is way low.
1:100K epi = .018mg (almost twice as high as your estimate)
.018mg*30=0.54mg epi.
And OP, that dose is way past the max dose for LA and for epi.
speaking of which, does anyone have any tips on giving LA?
Find a horizontal landmark, a vertical landmark, make a "crosshair" from your landmarks, advance the needle gently but with some firmness to the correct depth (usually until you contact bone), aspirate, inject slowly and steadily.
Once you do it a few times I'm sure it won't be any big deal at all.
um, no. You're thinking 30 carpules, not 30ml. Big difference.
Contacting bone is not critical, and often when you do thats when the patient jumps. Tell me, do you feel the need to use the 27 gauge long needle to give an IA ?
Try to put it next to the nerve.speaking of which, does anyone have any tips on giving LA?
um, no. You're thinking 30 carpules, not 30ml. Big difference.
30mL of 2% Lido w/ 1:100k epi?!! That's over 16 carpules - you don't think that's over the max dosage of either lido or epi?!
If I told you, I'd have to kill you. Good injections, painless injections, are one of the best internal marketing techniques in the business. And trust me, you will get on a roll with IAs (Im on a 3 month roll right now) where you dont miss. And then you have the week of hell. The biggest frustration I have, in all of the daily bull**** I deal with is when someone isnt numb. Its amazing how simple it is to piss you off. But, when I have scheduled #18 MO, 30 minutes, and i always inject and wait 10 minutes ( second molars dont work well with septo, you have to block),you sit down, lips numb, cut, ouch....Im pissed. . As far as painless injections, find a mentor and good topical. There are tricks, and its not about shaking the lip.