Lidocaine

Question 1

Class

Answer 1

Antiarrhythmic

Question 2

Adult Dose

Answer 2

Vfib / pulseless V tach: Loading dose 1-1.5 mg/kg IV or IO. If arrhythmia continues, repeat dose once in 10 minutes.
Follow with a infusion, 2 mg/min IV.
Ventricular Arrhythmia: Loading dose 1 mg/kg IV over 2-3 minutes then may repeat after 10 minutes.
Follow with a infusion, 2 mg/min IV.

Question 3

Max adult dose

Answer 3

3 mg/kg or 300 mg/hr

Question 4

Pediatric dose

Answer 4

Ventricular arrhythmia (wide complex tachycardia or Vfib /pulseless Vtach): Use with medical control approval.
Loading dose 1 mg/kg IV or IO.
Infusion 20-50 mcg/kg/min IV or IO.

Question 5

Max pediatric dose

Answer 5

Loading dose max 100 mg.

Question 6

Action

Answer 6

Decreases the diastolic depolarization and automaticity in the ventricles.

Question 7

Indication

Answer 7

Ventricular arrhythmia, Vfib

Question 8

Contraindications

Answer 8

Hypersensitivity to lidocaine or other like drugs.

Question 9

Considerations

Answer 9

Use with caution in patients with any degree of heart block.

Question 10

Side effects

Answer 10

CNS: Dizziness, numbness, shivering, somnolence, seizure, malignant hyperthermia.
CV: Bradycardia, hypotension, heart block, cardiac arrest.

Question 11

Suppled

Answer 11

1 g / 250 ml premix bag