Group 3 - Lidocaine HCl Flashcards

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1
Q

Lidocaine HCl

Drug Class?

A

Lidocaine HCl Drug Class:

  • Antiarrhythmic
  • Local anesthetic
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2
Q

Lidocaine HCl

Mechanism of Action (MOA)?

A

Lidocaine HCl MOA:

  • Decreases automaticity
  • Increases ventricular fibrillation threshold
  • Slows conduction in ischemic tissue
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3
Q

Lidocaine HCl

Indications?

A

Lidocaine HCl Indications:

  • Suppression of ventricular arrhythmias (VT, VF, PVCs)
  • Prophylaxis against recurrence after conversion from VT or VF
  • Pain management after IO insertion in conscious patients
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4
Q

Lidocaine HCl

Contraindications?

A

Lidocaine HCl Contraindications:

  • Hypersensitivity
  • Caution in patients with 2nd or 3rd degree AV blocks
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5
Q

Lidocaine HCl

Adverse Reactions?

A

Lidocaine HCl Adverse Reactions:

  • CV: SA nodal depression, hypotension
  • CNS: Drowsiness, paresthesias, seizures, muscle twitching
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6
Q

Lidocaine HCl

Adult Dose?

A

Lidocaine HCl Adult Dose:

  • Pulseless VF/VT: Initial bolus of 1.0 - 1.5 mg/kg IVP every 3 - 5 minutes to a total of 3 mg/kg
  • Antidysrhythmic or rhythms with a pulse: 0.5 - 0.75 mg/kg, up to 1.0 - 1.5 mg/kg IVP, with repeat boluses of 0.5 - 0.75 mg/kg every 5 - 10 minutes to a total of 3 mg/kg
  • Maintenance infusion after return of spontaneous rhythm: 2 - 4 mg/min
  • IO pain management: 20 - 40 mg very slow IO push
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7
Q

Lidocaine HCl

Pediatric Dose?

A

Lidocaine HCl Pediatric Dose:

  • Initial Bolus Dose: 1 mg/kg, may repeat 1 time in 3 - 5 minutes for VF/Pulseless VT or in 15 minutes for refractory dysrhythmias with a pulse (VT with a pulse)
  • Infusion after return of spontaneous rhythm: 20 - 50 mcg/kg/min
  • IO pain management: 0.1 mg/kg, not to exceed adult dose
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8
Q

Lidocaine HCl

Onset of Action?

A

Lidocaine HCl Onset of Action:

  • 1 - 5 minutes
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9
Q

Lidocaine HCl

Peak Effects?

A

Lidocaine HCl Peak Effects:

  • 5 - 10 minutes
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10
Q

Lidocaine HCl

Duration of Action?

A

Lidocaine HCl Duration of Action:

  • Bolus: 20 minutes
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11
Q

Lidocaine HCl

AZ Drug Box Minimum Supply?

A

Lidocaine HCl

AZ Drug Box Minimum Supply:

  • 3 pre-filled syringes, total 300 mg
  • 1 G vial or premixed infusion, total 2 G
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