Lidocaine Flashcards
Lidocaine
Name
Xylocaine
Lidocaine
Class
antidysrhythmic (NA+ blocker)
Lidocaine
Description
Lidocaine is an anti dysrhythmic that surpresses automaticity and raises stimulation threshold of the ventricles. it also causes sedation, anticonvulsant and analgesic effects
Lidocaine
Indications
Pulseless ventricular tachycardia, ventricular fibrillation, ventricular tachycardia with pulses
Lidocaine
Contraindications
Hypersensitivity to amide-type local anesthetics, supraventricular dysrhythmias, stokes-adams syndrome, 2nd and 3rd degree heart blocks and bradycardias
Lidocaine
Precautions
hepatic or renal impairment, CHF, hypoxia, respiratory depression, hypovolemia, myasthenia gravis, shock, elderly
Lidocaine
Dosage/Route
cardiac arrest
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
Lidocaine
Dosage/Route
head injuries premedicate
1mg/kg IVP