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Lidocaine/Xilocaine Package Injection/Infusion/Dosage |
Injection -100mg/5mL or 20mg/mL Infusion - 1g/250mL or 4mg/mL Pulse present: Adult: 0.5-1mg/kg bolus. Repeat every 5 mins as needed. Max of 3mg/kg. Pediatric: 1mg/kg bolus. Repeat every 5 mins as needed. Max of 3mg/kg. Cardiac Arrest: Adult: 1mg/kg bolus. Pediatric: 0.5-1mg/kg. Max 3mg/kg Post-conversion maintenance: 20-50mcg/kg/min |
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Lidocaine/xilocaine Indications/Contraindications |
(Ind)- Pulseless ventricular tachycardia/ventricular fibrillation (alternative to amiodarone) - Ventricular tachycardia with a pulse (alternative to amiodarone) - Stable polymorphic VT if Torsades de pointes is suspected. (Contra)- Allergy to medication; Wide-complex ventricular escape beats associated with Bradycardia - 2nd or 3rd degree heart block or severe bradycardia (HR <50) |
May decrease ICP response during intubation. Lidocaine |
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Lidocaine/Xilocaine Routes |
IV, IO IVPB (Infusion) ETT |
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