Lidocain Flashcards
Lidocaine
Mech
Na channel blocker=> slows IV and o of the cardiac cycle; inhibits action potential formation in sensory neurons
Xylocaine
Class
Antidysrythmic
Xylocaine
Pharmo
O: < 3 min
P: 5-7 min
D: 10-20 min
H: 1.5-2 hrs
Lidocaine
Indications
Vf,vt ( alternative to amio)
Local anesthetic for induction of io
Per med for RSI with suspected increased ICP
Xylocaine
Contraindications
2 type two, 3 heart block
Brady
Stokes-Adams syndrome, wpn, lgl
Lidocaine
SE
Flushing, sweating, nv, bradycardia, dizziness,seizures, confusion, drowsiness, decreased deep tendon reflex
Xylocaine
Prcautions
Pt 70+ with known hepatic failure reduce maintenance dose by half
Lidocaine
D2d
May cause drug toxicity when given with procainamide, phenytoin, quinidine, and b blockers