Lidocaine

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