Lidocaine

Question 1

Lidocaine Trade Name

Answer 1

Xylocaine

Question 2

Lidocaine MOA Local anesthetic

Answer 2

Inhibits the ionic fluxes required for the initiation and conduction of neural impulses, effecting local anesthetic action

Question 3

Lidocaine MOA Antiarrhythmic

Answer 3

Raises electrical stimulation threshold of the ventricle during diastole

Question 4

Lidocaine Indications

Answer 4

Ventricular arrhythmias
Local anesthetic

Question 5

Lidocaine Contraindications

Answer 5

STOKES-ADAMS syndrome
Wolff-Parkinson-White syndrome
Severe heart block

Question 6

Lidocaine Dosing

Answer 6

50-100 mg
No more than 200-300 mg during a one hour period

Question 7

Lidocaine Adverse Effects

Answer 7

Hypotension
Bradycardia

Question 8

Lidocaine Pediatric Dosing

Answer 8

1 mg/kg bolus per AHA guidelines

Question 9

Lidocaine Drug Class

Answer 9

Class I antiarrhythmic
Local anesthetic

Question 10

Lidocaine and CPB

Answer 10

Often used in an additive component in cardioplegia
May be given after cross clamp removal