Clinical Reference Tool
CRNA Dose Calculator
Weight-based maximum local anesthetic doses for adult patients and live pediatric infusion rate conversions. Built for quick reference at the point of care.
Quick Reference
Weight-Based Maximum Doses
Calculated max equals the lower of (weight × mg/kg) or the absolute ceiling.
| Agent | Route | mg/kg (Plain) | Max Plain | mg/kg (+Epi) | Max +Epi | Ceiling (Plain) | Ceiling (+Epi) |
|---|
Plain solution
With epinephrine
Ceiling = absolute maximum, regardless of weight
Clinical Adjustment Required
Calculated values reflect weight-based limits only. Always apply the absolute ceiling (whichever is lower). Adjust further for elderly patients, hepatic impairment, pregnancy, cardiac disease, and highly vascular injection sites. LAST risk is dose, site, and patient dependent.
Real-Time Calculation
Live Pediatric Infusion Rate Conversions
Edit any field. Rate updates in real time. Formulas calibrated for weight-based pediatric dosing.
Pediatric Use
These calculators are intended for pediatric patients. Always confirm kilogram weight using measured weight when available, or Broselow tape for unknown weights in emergencies. Use two-provider independent double-checks for vasoactive and high-alert infusions.
mcg/kg/min → mL/hr
(Dose × Wt × 60) / Conc
Infusion Rate
3.75
mL/hr
mcg/kg/hr → mL/hr
(Dose × Wt) / Conc
Infusion Rate
2.5
mL/hr
units/kg/hr → mL/hr
(Dose × Wt) / Conc
Infusion Rate
3
mL/hr
Verify independently. These conversions assume standard units and a single-bag continuous infusion. Always confirm pump programming, concentration on the actual bag or syringe, and your institution's policies before administration.
More Tools
Handy CRNA Resources
Curated emergency hotlines and clinical reference sites worth bookmarking for the OR.
Emergency Hotline
MHAUS Hotline
24/7 expert consultation for suspected or active malignant hyperthermia crises.
1-800-MH-HYPER
Emergency Hotline
Poison Control
National hotline for toxicology emergencies, drug overdoses, and exposure incidents.
1-800-222-1222
Emergency Protocol
ASRA LAST Checklist
Step-by-step protocol for treating local anesthetic systemic toxicity. Print and keep nearby.
Visit asra.com →
Clinical Reference
AANA Practice Resources
Practice guidelines, position statements, and clinical documents from our professional organization.
Visit aana.com →
Clinical Reference
AHA CPR & ECC Guidelines
ACLS, PALS, BLS, and neonatal resuscitation algorithms from the American Heart Association.
Visit cpr.heart.org →
Clinical Reference
ASA Practice Guidelines
Preoperative fasting, sedation, monitoring standards, and perioperative care guidelines.
Visit asahq.org →
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