Lidocaine: Difference between revisions

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==Background==
==Background==
==Lidocaine Precautions==
==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!
*For wounds, may use HCO3 (1cc to 10cc Lido) to decr pain  
*inject through wound edges NOT intact skin


== Theraputic Doses ==
== Theraputic Doses ==
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== Diagnosis ==
== Diagnosis ==
Symptoms:
Symptoms:
 
# CV
1. CV (brady/arrest)
##(brady/arrest)
 
###Tx w/ epi per ACLS
-Tx w/ epi per ACLS
#CNS
 
##lightheaded, pathesia, Ring in ears
2. CNS (lightheaded, pathesia)
##Seizure


==See Also==
==See Also==

Revision as of 18:56, 26 July 2011

Background

Lidocaine Precautions

  • For wounds, may use HCO3 (1cc to 10cc Lido) to decr pain
  • 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
    1. (brady/arrest)
      1. Tx w/ epi per ACLS
  2. CNS
    1. lightheaded, pathesia, Ring in ears
    2. Seizure

See Also

Incision and Drainage