Anaesthetists Handbook - MEDICAL EDUCATION at University ...

Epidural anaesthesia and analgesia2. Metaraminol infusion – 20 mg made up to 40 mL with saline at arate of 0-10 mL h -1 to maintain systolic BP above 100 mmHg.(Plus please fill in separate metaraminol infusion chart availablein PACU.)3. Glycopyrrolate – 0.2 mg if heart rate less than 40 bpm.4. Morphine PCA for failure or step down from epidural.5. Naloxone – 100 µg if respiratory rate less than 8 breaths perminute and sedation score = 3.6. An antiemetic; also consider regular intravenous ondansetron4 mg t.d.s.In addition prescribe:7. 500 ml of intravenous colloid for hypotension such as systolicbelow 80 mmHg.8. Regular oral or intravenous paracetamol 1 g q.d.s unlesscontraindicated.142 Anaesthetists Handbook January 2010