Medications
Example of a analgesic:
Fentanyl
Morphine
Hydromorphone
Quarter precent Marcaine plain expires 12/2028
0.25% Marcaine Plain exp. 12/2028
The circulator gives you 30cc of local, the doctor only uses 10mL. How much local is left over?
20 cc/mL
Drugs in fluid form that can be swallowed, injected, or applied topically.
Liquid
Medication that is swallowed and absorbed through the digestive system
By Mouth (Oral)
Type of local:
Lidocaine
Bupivacaine (Marcaine)
Mepivacaine
Ropivacaine
Half precent Marcaine with Epi 1:10,000 expires 03/2026
Cannot use it, expired ;)
At the beginning of the procedure, 500 cc of normal saline was available for irrigation.
During the case, the surgeon used 400 cc of normal saline for irrigation.
At the end of the procedure, the suction canister contains a total of 450 cc of fluid.
Based on this information, what is the estimated amount of blood loss?
50cc
Medications that are inhaled and absorbed through the lungs.
Gas
Medication injected directly into a vein.
Intravenous (IV)
Type of antiemetic:
Ondansetron (zofran)
Normal Saline for Irrigation expires 03/2027
30cc Lidocaine Plain expires 12/2029
NaCl 0.9% 03/2027
Lido Plain exp. 12/2029
The circulator gives you 30cc of local. The surgeon uses all 30cc then ask for 15cc more.
What was the total amount of local injected into the patient?
45 cc
A liquid preparation containing small particles of medication that are not completely dissolved. Must be shaken before use.
Suspension
Medications applied to the skin or mucous membranes.
Topical
Type of antibiotic:
Cefazolin
Vancomycin
Gentamicin
I am going to give you 3 different medications:
30cc Injectable Saline 09/2029
10cc Lidocaine Plain 04/2028
20cc Heparinized Saline expires 03/2027
Injectable NaCl 0.9% exp. 09/2029
Lido Plain 04/2028 exp. 04/2028
Heparinized NaCl 0.9% exp. 03/2027
The circulator gives you 15 mL of lidocaine with epi for local. She also gives you 20cc of Marcaine with epi for another type of local because the surgeon likes to use both. The surgeon uses 10cc of the lido c/ epi and 13cc of the Marcaine c/ epi. How much local is left over?
5cc of lido c/ epi
7cc of marcaine c/ epi
A liquid preparation in which a drug is completely dissolved in a solvent, creating a uniform mixture.
Solution
Injection behind the eyeball.
Retrobulbar
Example of a neuromuscular block:
Succinylcholine
Rocuronium
Vecuronium
I am going to give you a cocktail:
Half precent lidocaine with epi 1:100,000 expires 04/2027
30 cc Normal Saline expires 08/2026
5mg Gentamicin expires 05/2026
5mg Morphine expires 09/2027
0.5% Lido c/ epi 1:100,000 exp. 04/2027
NaCl 0.9%
Gent or Gentamicin
Morphine
At the beginning of the procedure, 500 cc of normal saline was available for irrigation.
During the case, the surgeon used 185 cc of normal saline for irrigation.
At the end of the procedure, the suction canister contains a total of 450 cc of fluid.
Based on this information, what is the estimated amount of blood loss?
265 cc
A mixture of two liquids that normally do not mix.
Emulsion
Medication injected into the subarachnoid space of the spinal cord.
Intrathecal