LIDOCAINE

Card Set Information

Author:
Kylecon40
ID:
97948
Filename:
LIDOCAINE
Updated:
2011-08-22 13:41:15
Tags:
drugs
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Description:
LIDOCAINE
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  1. Class
    Antidysrhythmic agent
  2. Trade names
    Xylocaine
  3. Actions:
    • 1. Suppresses ventricular dysrhythmias by decreasing ventricular irritability
    • 2. Raises fibrillatory threshold
    • 3. Lowers the threshold for defibrillation, and cardioversion
  4. Indications:
    • 1. Cardiac arrest with ventricular tachycardia, or ventricular fibrillation
    • 2. Stable VT
    • 3. Significant ventricular ectopy
  5. Contraindications:
    • 1. Hypersensitivity
    • 2. 2nd, and 3rd degree heart blocks
    • 3. PVC’s associated with bradycardia
    • 4. Idioventricular rhythm
    • 5. Junctional bradycardia
  6. Early Side effects:
    • Anxiety
    • Euphoria
    • Combative
    • Nausea
    • Twitching
    • Numbness
  7. Late Side Effects:
    • Seizure
    • decreased BP
    • Coma
    • Widening QRS
    • Prolonged 3rd PRI
    • VFIB
  8. Administration:
    • 1. Cardiac arrest with VF/VT
    • Adults: Initial dose 1-1.5 mg/kg IV/IO
    • For refractory VF may give additional 0.5 – 0.75 IV pus, repeat in 5-10 min. Max 3 mg/kg
    • ET administration: 2-4 mg/kg

    • 2. Stable VT/Significant ventricular ectopy
    • Adults: 0.5 – 0.75 mg/kg.
    • Repeat every 5-10 min to max of 3 mg/kg.
    • 4. Maintenance Infusion 1 – 4 mg/min

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