Lidocaine Drug Card Flashcards
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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?

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

    What are the indications for using Lidocaine?

    <p>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.</p> Signup and view all the answers

    What routes can Lidocaine be administered?

    <p>SubQ</p> Signup and view all the answers

    What are the contraindications for using Lidocaine?

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

    What are the adverse effects of Lidocaine?

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

    What special considerations should be taken when administering Lidocaine?

    <p>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.</p> Signup and view all the answers

    What is the typical dose range for Lidocaine?

    <p>0.5-1 mg/kg</p> 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

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    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.

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