Lidocaine Drug Card Flashcards

Questions and Answers

What is the generic name of Lidocaine?

Amiodarone

Ligocaine

Xylocaine

Lidocaine Hydrochloride (correct)

Which of the following are trade names for Lidocaine? (Select all that apply)

Ligocaine (correct)

Lidocaine Hydrochloride

Amiodarone

Xylocaine (correct)

What class does Lidocaine belong to?

Antibiotic

Antidysrhythmic (correct)

Anesthetic (correct)

Steroid

What are the actions of Lidocaine?

Antidysrhythmic - slows the rate of spontaneous cardiac contraction and ventricular electrical activity; Anesthetic - blocks nerve impulses. Signup and view all the answers

What are the indications for using Lidocaine?

Alternative to Amiodarone in cardiac arrest from Vtach or Vfib with wide QT interval, acute management of ventricular dysrhythmias, procedural anesthetic for intubation and IO. Signup and view all the answers

What routes can Lidocaine be administered?

SubQ Signup and view all the answers

What are the contraindications for using Lidocaine?

2nd or 3rd degree AV blocks, Stokes-Adams syndrome, prophylactic use in AMI, wide-complex ventricular escape beats with bradycardia. Signup and view all the answers

What are the adverse effects of Lidocaine?

Anxiety, drowsiness, confusion, seizures, slurred speech, respiratory arrest, hypotension, bradycardia, dysrhythmias, cardiac arrest, AV Block, nausea, vomiting. Signup and view all the answers

What special considerations should be taken when administering Lidocaine?

Reduce dose by 50% if the patient is over 70, has liver or renal disease, heart failure, or is in shock. High doses can cause coma or death. Signup and view all the answers

What is the typical dose range for Lidocaine?

0.5-1 mg/kg Signup and view all the answers

Study Notes

Lidocaine Overview

Generic Name: Lidocaine Hydrochloride
Trade Names: Xylocaine, Ligocaine

Classification

Antidysrhythmic: Affects heart rhythm by slowing spontaneous cardiac contractions and ventricular electrical activity
Anesthetic: Interrupts nerve impulse transmission, providing localized anesthesia

Medical Uses

Alternative treatment to Amiodarone for cardiac arrest due to Ventricular Tachycardia (Vtach) or Ventricular Fibrillation (Vfib) with wide QT interval
Acute management of ventricular dysrhythmias
Utilized as a procedural anesthetic, including in intubation and intraosseous (IO) access

Administration Routes

Administered via intravenous (IV), intraosseous (IO), and subcutaneous (SubQ) methods

Contraindications

Not to be used in patients with 2nd or 3rd degree AV blocks, Stokes-Adams syndrome, or in the prophylactic treatment of acute myocardial infarction (AMI)
Avoid in cases of wide-complex ventricular escape beats accompanied by bradycardia

Adverse Effects

Potential side effects include anxiety, drowsiness, confusion, and seizures
Other serious effects: slurred speech, respiratory arrest, hypotension, bradycardia, various dysrhythmias, cardiac arrest, AV block, nausea, and vomiting

Special Considerations

Dose reduction by 50% recommended for patients over 70 years old or those with liver or renal disease, heart failure, or in shock
Excessive doses may lead to coma or death

Dosage Guidelines

Typical dosage: 0.5-1 mg/kg for therapeutic administration

Description

Test your knowledge of Lidocaine with these flashcards covering its generic and trade names, classification, actions, and indications. Perfect for pharmacy students or healthcare professionals seeking to understand this common drug better.