Virtual Drug Bag

LIDOCAINE

PACKAGED: 100 mg in 5 ml syringe, 20 mg/ml

LOCATION: Intermediate Pouch

INDICATIONS:
Intubation on conscious patient
For pain caused by pressure of intraosseous fluid administration

ADULT: 
VF, Pulseless VT: 1.5 mg/kg IV
Repeat bolus: one half initial dose 0.75 mg/kg IV after 5 minutes
Intubation on conscious patient: 100 mg (5 ml) nebulized, or 50 mg (2.5 ml) in each nostril IN with MAD.
Pain associated with IO infusion: 1.5 mg/kg up to 100 mg via IO

PEDI:
Intubation on conscious patient: 1.5 mg/kg nebulized (max dose 100 mg or 5 ml)
Pain associated with IO infusion: 0.5 mg/kg via IO

THERAPEUTIC ACTION:
Decreases automaticity

CONTRAINDICATION:
Hypersensitivity
Second or third degree heart block in absence of an artificial pacemaker

PRECAUTIONS AND SIDE EFFECTS:
Lightheadedness, confusion, blurred vision, hypotension, cardiovascular collapse, bradycardia, altered level of consciousness, irritability, muscle twitching, seizures with high doses
Use extreme caution in patients with hepatic disease, heart failure, marked hypoxia, severe respiratory depression, hypovolemia or shock, incomplete heart block or bradycardia and atrial fib.

REQUIRES MCP:
ADULT: No 
Pedi: No