Lidocaine: Difference between revisions
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==Background== | |||
==Lidocaine Precautions== | |||
*Toxic dose of Lidocaine is 5mg/kg with NO epi & 7 mg/kg w/ Epi! (toxic= ring in ears & se). Lido from code cart has no HCl that floor epi has, use HCO3 (1cc to 10cc Lido) to decr pain of floor lido d/t HCl! inject through wound edges NOT intact skin! | |||
== Theraputic Doses == | == Theraputic Doses == | ||
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2. CNS (lightheaded, pathesia) | 2. CNS (lightheaded, pathesia) | ||
==See Also== | |||
[[Incision and Drainage]] | |||
[[Category:Tox]] | |||
Revision as of 18:54, 26 July 2011
Background
Lidocaine Precautions
- Toxic dose of Lidocaine is 5mg/kg with NO epi & 7 mg/kg w/ Epi! (toxic= ring in ears & se). Lido from code cart has no HCl that floor epi has, use HCO3 (1cc to 10cc Lido) to decr pain of floor lido d/t HCl! inject through wound edges NOT intact skin!
Theraputic Doses
MAX DOSE (mg/kg)
| Agent | With Epi | Without Epi |
| Lidocaine | 7 | 3-5 |
| Mevipicaine | 8 | 7 |
| Bupivicaine | 3 | 1.5 |
Diagnosis
Symptoms:
1. CV (brady/arrest)
-Tx w/ epi per ACLS
2. CNS (lightheaded, pathesia)