LIDOCAINE (Xylocaine) Flashcards
LIDOCAINE (Xylocaine)
Name/Class: LIDOCAINE (Xylocaine)/Antidysrhythmic (NA+ Blocker)
Description: Lidocaine is an antidysrhythmic that suppresses automaticity and raises stimulation threshold of the ventricles. It also causes sedation, anticonvulsant, and analgesic effects.
Indications: Pulseless ventricular tachycardia, ventricular fibrillation, ventricular tachycardia (w/ pulse).
Contraindications: Hypersensitivity to amide-type local anesthetics, supraventricular dysrhythmias, Stokes-Adams syndrome, 2nd- and 3rd-degree heart blocks, and bradycardias.
Precautions: Hepatic or renal impairment, CHF, hypoxia, respiratory depression, hypovolemia, myasthenia gravis, shock, elderly
Dosage/Route: Cardiac arrest: 1 to 1.5 mg/kg IV repeated every 3 to 5 min up to 3 mg/kg, Consider ½ dose for elderly follow conversion with a drip of 2 to 4 mg/min. 1Gram/250cc ,
Pedi: 1 mg/kg IV, repeat/3 to 5 min up to 3 mg/kg, follow conversion with a drip of 20 to 50 mcg/kg/min.
