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15 Cards in this Set

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Name

Lidocaine/Xilocaine
Class

Antidysrhythmic

Package-injection infusion


*100mg/5mL or 20mg/mL


*1g/250mL or 4mg/mL

Description/Mechanism of action


*Antidysrhythmic that suppresses automaticity and raises threshold of the ventricles.

Indications


*Pulseless ventricular tachycardia/ventricular fibrillation (alternative to Amiodarone)


*Ventricular tachycardia with a pulse (alternative to Amiodarone)


*Stable polymorphic VT if Torsade's do points is suspected
Contraindications


*Allergy to the medication


*Wide complex ventricular escape beats associated with bradycardia


*2nd or 3rd degree heart block


*Severe bradycardia

Precautions/Special notes/Side effects


Respiratory


*Use caution I patients with CHF


CNS


*Headaches


*Dizziness


MISC


*Renal impairment or Hepatic impairment (reduce "maintenance dose" only)


*May decrease ICP response during intubation


*Elderly or debilitated patients (1/2 dose for patients >75 years old)


*Family/patient history of malignant hyperthermia


Adult dose


Pulse present


*0.5-1mg/kg bolus. Repeat every 5 minutes as needed. Maximum of 3mg/kg

Pediatric dose


Pulse present


*1mg/kg bolus. Repeat every 5 minutes as needed. Maximum of 3mg/kg.

Adult dose


Pulse absent


*1mg/kg bolus. Repeat every 5 minutes as needed. Maximum of 3mg/kg.


Pediatric dose


Pulse absent

*0.5-1mg/kg bolus. Repeat every 5 minutes as needed. Maximum of 3mg/kg.

Routes


IV, IO, IVPB,
ETT

Adult dose


Conversation and infusion

*follow conversion with a maintenance drip of 20-50mcg/kg/min


*Repeat bolus is conversion drip is initiated >15min AFTER conversion

Pediatric dose


Conversion and infusion

*follow conversion with a maintenance drip of 20-50mcg/kg/min


*Repeat bolus if conversion drip is initiated > 15min AFTER conversion

Adverse effects

*Respiratory depression/hypoxia


*Seizures (especially with overdose)


*Hypertension/Shock