2015 Trumbull Memorial Hospital Demo

Lidocaine

Lidocaine

Action

Onset

Anti-arrhythmic Sodium Channel Blocker

30-90 seconds

Indications Vfib / Pulseless Vtach (Adult and Ped) RSI

Adult Dose Cardiac Arrest: 1-1.5 mg/kg IVP/IO. Repeat doses at 5 minutes are half the initial (0.5-0.75 mg/kg), Maximum

3 mg total RSI: TBD

Pediatric Dose Cardiac Arrest: 1-1.5 mg/kg IVP/IO. Repeat doses at 5 minutes are half the initial (0.5-0.75 mg/kg), Maximum 3 mg/kg total RSI: TBD Contraindications Known hypersensitivity, Stokes-Adams Syndrome, Wolff-Parkinson-White Syndrome, or severe degrees of sinoatrial, atrioventricular, or intraventricular block in the absence of an artificial pacemaker Adverse Reactions Cardiovascular: Bradycardia, hypotension, cardiovascular collapse which may lead to arrest CNS: Lightheadedness, nervousness, apprehension, euphoria, confusion, dizziness, drowsiness, tinnitus, blurred or double vision, vomiting, sensations of heat, cold, or numbness, twitching, tremors, convulsions, unconsciousness, respiratory depression, and arrest Other: allergic reactions as a result of sensitivity to lidocaine are extremely rare. There have been cases of permanent injury to extraocular muscles requiring surgical repair Precautions Use caution in patients with severe liver or kidney disease because accumulation of the drug or metabolites may occur. Use caution in patients with hypovolemia, severe CHF, shock, and all forms of heart block. Elimination of ventricular ectopic beats without prior acceleration in heart rate may promote more frequent ventricular arrhythmias or complete heart block. Dosage for pediatric and debilitated and/or elderly patients should be reduced.

Considerations Observe closely for drug toxicity: dizziness, confusion, delirium, seizures. Treatment for toxicity is management of symptoms until the drug is removed from the body.

208

EMR

EMT

AEMT

Paramedic

Extended