Lidocaine

Question 1

Lidocaine Class

Answer 1

Antidysrhtythmic, Local Anesthetic

Question 2

Lidocaine MOA

Answer 2

Sodium channel inhibitor depresses action potential in phase zero of cardiac cells, and causing anesthesia by stabilizing neuronal pathways and inhibiting nerve impulse initiation and conduction

Question 3

Lidocaine Indications (3)

Answer 3

Cardiac arrest with VFib/VTach when Amiodarone is unavailable
Symptomatic (wide-complex) tachycardia with pulses
IO infusion pain in conscious patient

Question 4

Lidoacine Contraindications (3)

Answer 4

Heart blocks
Wolf-Parkinson-White syndrome
After using amiodarone

Question 5

Lidocaine Adult Cardiac Arrest Dose

Answer 5

BHO 100mg IVP + 50mg IVP repeat

Question 6

Lidocaine Pregnancy Class

Answer 6

B (no harm to animals, untested in humans)

Question 7

Lidocaine Adult Symptomatic Tachycardia Dose

Answer 7

BHO 50mg in 50-100mL over 10min

Question 8

Lidocaine Adult Conscious IO Pain Dose

Answer 8

50mg IO

Question 9

Lidocaine Peds Cardiac Arrest Dose

Answer 9

BHO 1mg/kg max 100mg IVP + 0.5mg/kg max 50mg IVP repeat dose

Question 10

Lidocaine Peds Symptomatic Tachycardia Dose

Answer 10

BHO 0.5mg/kg max 50mg in 50-100mL over 10min

Question 11

Lidocaine Peds Conscious IO Pain Dose

Answer 11

0.5mg/kg max 50mg IO