Lidocaine

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)

• Amides= lidocaine, bupivicaine (2 i's), Ester= cocaine, tetracaine (1 i), Ester= responsible for most allergies, NO x-reactivity btwn amides & esters! May use Benadryl for allergic pts (same form t@ is used for IV), inject it sq as a local, it burns but works for about 15 min of anesthesia!