PAIN DRUGS HANDBOOK TABLE OF CONTENTS

About the Author
About the Handbook
Acknowledgments
Forward to 2rd Edition
Forward to 1st Edition

DRUGS (Alphabetical Order)

TOPICAL AGENTS

Amitriptyline
Baclofen
Clonidine
Cyclobenzaprine
2-deoxy-d-glucose
Dexamethasone
Dextromethorphan
Diclofenac
Doxepin
DMSO
Gabapentin
Ketamine
Ketoprofen

NEUROLYTIC AGENT

Phenol

APPENDICES

Appendix 1: World Health Organization
Three-step Ladder
Appendix 2: Drug Tables
Appendix 3: Infusion Tables
Appendix 4: Relative Potencies of
Opioids Effects
Appendix 5: Relative Potencies of Steroids
Appendix 6: Intravenous PCA
Standard Orders
Appendix 7: Patient Controlled Analgesia Flow Sheet
Appendix 8: Relative Potencies of Opioids
Appendix 9: Epidural Analgesia Monitoring Orders
Appendix 10: Pain Rating Scales
Appendix 11: Multiplication Factors for Converting the Daily Dose of a Prior Opioid to the Daily Dose of Oxycontin
Appendix 12: CPR Algorithms
Appendix 13: Pediatric CPR Algorithms
Appendix 14: Trade Name Table

BIBLIOGRAPHY

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Sota Omoigui's
Pain Drug Handbook
2nd Edition:
Ropivacaine

Click here to order
SECTION ONE:
Class, Uses, Dosing,
Elimination


SECTION TWO:
Preparation, Pharmacology, Pharmacokinetics

SECTION THREE:
Interactions, Toxicity
Guidelines/Precautions
Principal Adverse Reactions
Class
(LOCAL ANESTHETIC)

Uses
local and regional anesthesia, sympathetic blockade

Dosing
Infiltration/Peripheral Nerve block : <200 mg (0.2-0.5% solution) Caudal 30-150 mg (15-30 mls of 0.2%-0.5% solution) Children 0.4 - 0.7-1.0 ml/kg (L2 - T10 -T7 level of anesthesia respectively). At higher volumes (> 0.6 mls/kg), utilize lower concentrations of ropivacaine (0.1-0.2% solutions). Max safe dose of ropivacaine: 2.5 mg/kg. Brachial Plexus Block: 70-250 mg (35-50 mls of 0.2-0.5% solution) Children 0.5-0.75 mls/kg. Regional blockade may be potentiated by the addition of Tetracaine 0.5-1 mg/kg or Fentanyl 1-2 mcg/kg or preservative free Morphine (0.05-0.1 mg/kg) Stellate Ganglion Block: 10-20 mls of 0.2% (25-50 mg) solution Paravertebral Block: 3-4 mls per segment of 0.5% solution Epidural: bolus 20-200 mg (0.1-0.75% solution) Children 0.5- 2.5 mg/kg or 0.3-0.5 mls/kg (0.1-0.5% solution) infusion: 4-15 mls/hr (0.1-0.2% solution with or without epidural narcotics. Children 0.1-0.35 mls/kg/hr Rate of onset and potency of local anesthetic action may be enhanced by carbonation. (Add 0.1 ml of 7.5% or 8.4% Sodium Bicarbonate with 20 mls of 0.2% Ropivacaine. Do not use if there is precipitation.) Spinal bolus: 15-22 mg (0.5-0.75% solution without glucose) Note: Intrathecal use of Ropivacaine is not approved by the FDA Intrapleural: bolus < 100 mg (20 mls of 0.2-0.5% solution. [0.4 mls/kg] infusion 5-7 mls/hr [0.125 mls/kg/hr] (0.1-0.2% solution) Intraarticular (Knee Joint block for Arthroscopy): <150 mg (30 mls of 0.5% solution. If desired, add Morphine 0.5-1 mg. Max Safe Dose: 2.5 mg/kg with or without epinephrine Ropivacaine Single Dose Vials, Ampules and Infusion Bottles are preservative free and may be used for epidural or caudal block.

Elimination
hepatic, renal

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NOTICE:

Every effort has been made to ensure that the drug dosage schedules herein are accurate and in accord with the standards accepted at the time of publication. As new research and experience broaden our knowledge, changes in treatment and drug therapy occur. The medications described do not necessarily have specific approval by the Food and Drug Administration for use in the situations and the dosages for which they are recommended. This information is advisory only. The package insert should be consulted for use and dosage as approved by the FDA, for any changes in indications and dosages and for added warnings and precautions. The ultimate responsibility lies with the prescribing physician.

No part of this information may be reproduced or transmitted electronically in any information storage or retrieval system, or within any monitoring system without prior permission in writing from S.O.T.A. Technologies (Electronic Publishers).

The Universal Drug Infusion Slide Ruler (patent pending) is now available. It incorporates an infusion data guide and enables infusion calculations for any drug at any dose and at any concentration. It may be obtained by calling S.O.T.A Technologies (800 9-MEDIC-9)

COMPOUNDED TOPICAL MEDICATIONS MAY BE ORDERED (BY PRESCRIPTION ONLY) FROM L.A. PAIN CLINIC. CALL 310 675-9121 or 1 800 9-MEDIC-9.


Copyright 2000. Sota Omoigui, M.D. All rights reserved.