Lidocaine Hydrochloride (Xylocaine)

Card Set Information

Author:
Lhernandez
ID:
294541
Filename:
Lidocaine Hydrochloride (Xylocaine)
Updated:
2015-02-01 17:23:58
Tags:
LVAPEC PharmacologyGroup9
Folders:
Drug Profiles,Pharmacology Group 9
Description:
Lidocaine Hydrochloride (Xylocaine)
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  1. Lidocaine Hydrochloride (Xylocaine) Class
    Anti-arrhythmic
  2. Lidocaine Hydrochloride (Xylocaine) MOA
    • Decrease automaticity by slowing rate of phase 4 depolarization
    • Supresses ventricular ectopy
    • Increases the fibrilation threshold
  3. Lidocaine Hydrochloride (Xylocaine) Indication
    • Malignant PVCs
    • V-Tach
    • V-Fib
    • Sometimes as premed for RSI
  4. Lidocaine Hydrochloride (Xylocaine) Contraindication
    • Hypersensitivity
    • 2nd/3rd degree hb
    • Wide complex ventricular escape beats with bradycardia
  5. Lidocaine Hydrochloride (Xylocaine) Adverse Reaction
    • Slurres speech
    • Seizure
    • AMS
    • Confusion
    • Lightheaded
    • Blurred vision
    • Bradycardia
  6. Lidocaine Hydrochloride (Xylocaine) Dosage
    Adult: Inital 1-1.5 mg/kg IV/IO may repeat in 5-10min at 0.5-0.75 mg/kg to a max dose of 3 mg/kg

    ET: 2-4 mg/kg

    Stable V-Tach: 0.5-0.75 mg/kg and up to 1-1.5 mg/kg repeat 0.5-0.75 mg/kg to a max dose of 3 mg/kg

    Maintence Infusion: 1-4 mg/min in NS or D5W

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