Lidocaine

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)

See Also

Incision and Drainage