Lidocaine Flashcards

1
Q

Lidocaine

Name

A

Xylocaine

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2
Q

Lidocaine

Class

A

antidysrhythmic (NA+ blocker)

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3
Q

Lidocaine

Description

A

Lidocaine is an anti dysrhythmic that surpresses automaticity and raises stimulation threshold of the ventricles. it also causes sedation, anticonvulsant and analgesic effects

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4
Q

Lidocaine

Indications

A

Pulseless ventricular tachycardia, ventricular fibrillation, ventricular tachycardia with pulses

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5
Q

Lidocaine

Contraindications

A

Hypersensitivity to amide-type local anesthetics, supraventricular dysrhythmias, stokes-adams syndrome, 2nd and 3rd degree heart blocks and bradycardias

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6
Q

Lidocaine

Precautions

A

hepatic or renal impairment, CHF, hypoxia, respiratory depression, hypovolemia, myasthenia gravis, shock, elderly

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7
Q

Lidocaine

Dosage/Route

cardiac arrest

A

1-1.5mg/kg IV repeated every 3-5 mins up to 3mg/kg, consider 1/2 dose for elderly follow conversion with a drip of 2-4 mg/min. 1gram/250cc

Pedi: 1mg/kg IV, repeat every 3-5 mins, up to 3mg/kg, follow conversion with a drip of 20 to 50 mcg/kg/min

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8
Q

Lidocaine

Dosage/Route

head injuries premedicate

A

1mg/kg IVP

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