Analgesics/NSAIDS - Lidocaine Drip Analgesia

Question 1

What is the recommended bolus dose of Lidocaine for analgesia?

A) 0.5-1 mg/kg IV over 2-4 minutes

B) 1-2 mg/kg IV over 2-4 minutes

C) 2-3 mg/kg IV over 2-4 minutes

D) 0.5-1 mg/kg IV over 10 minutes

Answer 1

B) 1-2 mg/kg IV over 2-4 minutes

Question 2

What is the typical intraoperative drip dose range for Lidocaine?

A) 0.5-1 mg/kg/hr IV

B) 1-2 mg/kg/hr IV

C) 2-3 mg/kg/hr IV

D) 3-4 mg/kg/hr IV

Answer 2

B) 1-2 mg/kg/hr IV

Question 3

Which of the following actions describes Lidocaine’s mechanism of action for analgesia?

A) Enhancing opioid effects

B) Preventing depolarization of damaged or dysfunctional nerves

C) Increasing calcium influx into cells

D) Stimulating excitatory neurotransmitter release

Answer 3

B) Preventing depolarization of damaged or dysfunctional nerves

Question 4

Lidocaine drip analgesia is particularly useful for which of the following conditions? Select 2

A) Acute pain from injury

B) Chronic neuropathic pain

C) Postoperative nausea

D) Systemic analgesia at low levels

Answer 4

B) Chronic neuropathic pain
D) Systemic analgesia at low levels

Question 5

In which type of surgical cases is Lidocaine drip analgesia often utilized as part of an Enhanced Recovery After Surgery (ERAS) protocol?

A) Orthopedic cases

B) Abdominal cases

C) Neurosurgical cases

D) Cardiac surgery

Answer 5

B) Abdominal cases

Question 6

When using Lidocaine drip analgesia, why is it important to exercise caution in patients with cardiac dysfunction?

A) Lidocaine can cause hypertension in cardiac patients

B) Lidocaine can exacerbate arrhythmias or lead to heart block

C) Lidocaine can increase heart rate significantly

D) Lidocaine has no effect on cardiac function

Answer 6

B) Lidocaine can exacerbate arrhythmias or lead to heart block

Precautions: Careful monitoring in cardiac, hepatic, renal dysfunction

Question 7

Why should Lidocaine drip analgesia be used with caution in patients with hepatic dysfunction?

A) Hepatic dysfunction increases the risk of Lidocaine toxicity due to impaired metabolism

B) Hepatic dysfunction decreases Lidocaine efficacy

C) Hepatic dysfunction causes Lidocaine to be excreted more rapidly

D) Hepatic dysfunction has no impact on Lidocaine administration

Answer 7

A) Hepatic dysfunction increases the risk of Lidocaine toxicity due to impaired metabolism

Precautions: Careful monitoring in cardiac, hepatic, renal dysfunction

Question 8

Careful monitoring in

Answer 8

cardiac, hepatic, renal dysfunction