teex lidocaine

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Author:
ccs1471
ID:
25467
Filename:
teex lidocaine
Updated:
2010-07-01 16:41:08
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teex lidocaine
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Description:
teex medic lidocaine
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  1. Lidocaine Class
    Antiarrhythmic
  2. Lidocaine Actions
    • 1. Suppress ventricular ectopy
    • 2. Increase VF threshold
    • 3. Reduce electrical impulse through heart
  3. Lidocaine Indications
    1. Malignant PVC's with suspected ischemia (a: greater than 6 per min B: myocardial infarction C: couplets / salvos or runs of VT D: R-on-T pehnomenon E: multifocal F: symptomatic)

    2. VT, VF

    3. Wide-Complex Tachycardias with unknown origen
  4. Lidocaine Contraindications
    • 1. High degree heart block (2nd and 3rd)
    • 2. PVS's with bradycardia
    • 3. Allergy to any 'caine' medication
    • 4. idioventricular rhythms
    • 5. Do not give with beta blockers or dopamine
  5. Lidocaine Precautions
    • 1. dosage not to exceed 300mg / hr
    • 2. monitor for CNS toxicity
    • 3. reduce dose by 50% in patients over 70 years of age or who have liver disease
    • 4. Use bolus therapy in cardiac arrest only
  6. Lidocaine Side Effects
    • 1. anxiety, drowsiness, dizziness, confusion
    • 2. nausea, vomitting, convulsions
    • 3. widening of QRS
    • 4. hypotension, numbness, slurred speech
    • 5. parasthesias
  7. Lidocaine Dosage
    • PVS's, VF, Wide Complex Tachycardia:
    • 1.0-1.5 mg / kg repeat every 5 to 10 minutes to a max of 3.0 mg / kg
    • Drip
    • 2-4 mg / min - 1 gram in 250 ml
  8. Lidocaine Route
    ET (ET max dose is 6 mg / kg total when all doses are delivered ET), IV bolus, IV infusion, IM Bolus of 300mg
  9. Lidocaine How Supplied
    • Prefilled Syringe: 100mg / 5ml
    • Ampule: 100mg / 5ml
    • Premixed: 1 or 2 grams in 500 of D5W
  10. Lidocaine Pediatric Dosage
    1mg / kg

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