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Section R: Page 006
SMITHS MEDICAL (PORTEX) EPIDURAL TRAY PICK LIST

PROCEDURAL DRUGS
PREP SOLUTIONS

Iodophor PVP Solution 1 Oz
Iodophor PVP Swabstick (3pk)
Bentzoin Tincture Swabstick
3M DuraPrep Applicator

SKIN WHEAL - AMPULES
Lidocaine HCL Inj 1% 2ml
Lidocaine HCL Inj 1% 5ml
Procaine HCL Inj 1% 2ml

EPIDURAL TEST DOSE- AMPULES
Lidocaine 1.5% w/ Epinephrine
Bupivacaine HCL 0.5% w/ Epinephrine 5ml
Bupivacaine HCL 0.5% 20ml
Bupivacaine HCL 0.25% 30ml
Bupivacaine HCL 0.75%
  - w/ Dextrose (Spinal) 2ml
Lidocaine HCL 5%
  - w/ Dextrose 7.5% 2ml
Lidocaine HCL 5% w/ Glucose 7.5% 2ml
Lidocaine HCL 1%
  - w/ Epinephrine 30ml
Lidocaine HCL 1.5% 20ml
Lidocaine HCL 2% 10ml
Tetracaine HCL Inj 1%
  - (Lyophilized) 20mg
Tetracaine HCL 1% 2ml

ADJUNCTIVE - AGENTS
Dextrose Inj 10% 5ml
Ephedrine Sulfate Inj 5% 1ml
Ephedrine 1 Mg/ml 1 ml
Sodium Chloride Inj 0.9% 5ml
Sodium Chloride Inj 0.9% 10ml

MISCELLANEOUS COMPONENTS
Medicine Cup 50ml
Medicine Cup Cover
Plastic Tip Cap
Latex Gloves (One Size Fits All)
Adhesive Bandage 1" x 3"

MISCELLANEOUS COMPONENTS
Injection Port, Male LL
20" IV Tubing Extension Set
6" Ruler
Surgical Marker

SYRINGES
  - LOSS OF RESISTANCE SYRINGES

4cc Plastic Pulsator LS
7cc Plastic Pulsator LS
7cc Plastic Pulsator LL
5cc Glass LS
5cc Glass LL
5cc Glass With Metal LS
10cc Glass LL
10cc Glass With Metal LS

PROCEDURAL SYRINGES
1cc Plastic LS
3cc Plastic LS
3cc Plastic LL
5cc Plastic LS
5cc Plastic LL
5cc Glass/Plastic Spinal LS
6cc Plastic LS
6cc Plastic LL
10cc Plastic LS
10cc Plastic LL
10cc Plastic Control Syringe LL
12cc Plastic LS
12cc Plastic LL
20cc Plastic LS
20cc Plastic LL





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