teex lidocaine

Antiarrhythmic

• 1. Suppress ventricular ectopy
• 2. Increase VF threshold
• 3. Reduce electrical impulse through heart

1. Malignant PVC's with suspected ischemia (a: greater than 6 per min B: myocardial infarction C: couplets / salvos or runs of VT D: R-on-T pehnomenon E: multifocal F: symptomatic)

2. VT, VF

3. Wide-Complex Tachycardias with unknown origen

• 1. High degree heart block (2nd and 3rd)
• 2. PVS's with bradycardia
• 3. Allergy to any 'caine' medication
• 4. idioventricular rhythms
• 5. Do not give with beta blockers or dopamine

• 1. dosage not to exceed 300mg / hr
• 2. monitor for CNS toxicity
• 3. reduce dose by 50% in patients over 70 years of age or who have liver disease
• 4. Use bolus therapy in cardiac arrest only

• 1. anxiety, drowsiness, dizziness, confusion
• 2. nausea, vomitting, convulsions
• 3. widening of QRS
• 4. hypotension, numbness, slurred speech
• 5. parasthesias

• PVS's, VF, Wide Complex Tachycardia:
• 1.0-1.5 mg / kg repeat every 5 to 10 minutes to a max of 3.0 mg / kg
• Drip
• 2-4 mg / min - 1 gram in 250 ml

ET (ET max dose is 6 mg / kg total when all doses are delivered ET), IV bolus, IV infusion, IM Bolus of 300mg

• Prefilled Syringe: 100mg / 5ml
• Ampule: 100mg / 5ml
• Premixed: 1 or 2 grams in 500 of D5W

1mg / kg