Our pediatric hospital has an epidural order set that has standard concentrations of each ingredient (we use ropivicaine or bupivicaine +/- clonidine +/- fentanyl/ hydromorphone). The dose field in Epic is mL/hr.

A new MDA expressed that dosing in mL/hr is difficult, and they prefer to dose in mg/kg/hr or mg/hr. We are unsure how this would work with multiple ingredients, each of which has a standard concentration.

How does your facility dose epidurals?

Thank you!