ANTI-ARRYTHMICS Flashcards
1
Q
LIDOCAINE
A
INDICATIONS:
VT / VF
stable monomorphic VT with preserved ventricular function
stable polymorphic VT with preserved left ventricular function, normal QT interval, and correction of any electrolyte imbalances.
DOSING: VF / PULSELESS VT:
Give after 3rd round of CPR
1st dose: 1 -1.5 mg / kg
2nd dose: 0.5 - 0.75 mg / kg
Repeat in 5 to 10 minutes
Maximum 3 doses or total of 3mg/kg
ADRs
Cardiovascular:
hypotension, bradycardia, arrhythmias, and/or cardiac arrest.
TOXICITY (STEWISE PATTERN)
Numbness of the tongue, lightheadedness, and visual disturbances -> muscle twitching, unconsciousness, and seizures -> coma, respiratory arrest, and cardiovascular depression.
TOXICITY RISK FACTORS
Liver Dysfuntion
Low Protein
Acidosis
