Xylocaine (Lidocaine) Medical Classification Quiz
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Questions and Answers

What is the classification of Xylocaine?

  • Antiarrhythmic Agent (correct)
  • Antihistamine
  • Antibiotic
  • Analgesic

    • For which condition would Xylocaine be used as a pretreatment agent?

  • Hypotension
  • Increased Intracranial Pressure (ICP) (correct)
  • Hyperthermia
  • Hyperglycemia

    • What is the maximum dosage of Xylocaine for perfusing arrhythmias in adults when administered as an IV bolus?

  • 3 mg/kg (correct)
  • 2 mg/kg
  • 1 mg/kg
  • 4 mg/kg

    • How does Xylocaine act in the body to treat arrhythmias?

    <p>Reduces automaticity of the heart</p> Signup and view all the answers

    Which of the following is not listed as a common adverse reaction of Xylocaine?

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

    What is the action mechanism of Xylocaine in treating ventricular rhythms?

    <p>Normalizes the refractory period in ventricular rhythms</p> Signup and view all the answers

    Which of the following is a listed indication for the use of Xylocaine (Lidocaine)?

    <p>Hemodynamically compromising PVC's</p> Signup and view all the answers

    What is the maximum recommended adult dosage of Xylocaine (Lidocaine) for cardiac arrest (VF/pVT) when administered as an IV push?

    <p>1.0 - 1.5 mg/kg</p> Signup and view all the answers

    What is the maximum recommended pediatric dosage of Xylocaine (Lidocaine) for all cardiac indications when administered intravenously or intraosseously?

    <p>3.0 mg/kg</p> Signup and view all the answers

    Which of the following is a listed adverse reaction of Xylocaine (Lidocaine)?

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

    What is the recommended maintenance infusion rate for Xylocaine (Lidocaine) in adults for cardiac indications?

    <p>1 - 4 mg/min</p> Signup and view all the answers

    For which of the following is Xylocaine (Lidocaine) listed as a pretreatment agent?

    <p>Suspected increased ICP in RSI protocols</p> Signup and view all the answers

    What is the primary mechanism of action of Xylocaine (Lidocaine) in treating cardiac arrhythmias?

    <p>Acts through blockage of sodium channels</p> Signup and view all the answers

    Which of the following is not a listed indication for the use of Xylocaine (Lidocaine)?

    <p>Treating hypertension</p> Signup and view all the answers

    What is the recommended adult maintenance infusion rate for Xylocaine (Lidocaine) for cardiac indications?

    <p>1 - 4 mg/min</p> Signup and view all the answers

    Which of the following is a listed serious adverse reaction of Xylocaine (Lidocaine)?

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

    What is the maximum recommended adult dosage of Xylocaine (Lidocaine) for cardiac arrest (VF/pVT) when administered as an IV push?

    <p>1.0 - 1.5 mg/kg</p> Signup and view all the answers

    Which of the following is listed as a pretreatment agent for Xylocaine (Lidocaine)?

    <p>Increased ICP in RSI protocols</p> Signup and view all the answers

    What is the recommended adult maintenance drip rate for Xylocaine (Lidocaine) in treating perfusing arrhythmias?

    <p>1-4 mg/min</p> Signup and view all the answers

    Which of the following is a potential adverse reaction to Xylocaine (Lidocaine)?

    <p>Muscle Cramps</p> Signup and view all the answers

    In which condition would you use Xylocaine as a pretreatment agent?

    <p>Bradycardia with escape PVC's</p> Signup and view all the answers

    What is the action mechanism of Xylocaine in treating ventricular rhythms?

    <p>Normalizes the refractory period</p> Signup and view all the answers

    Which of the following is a contraindication for using Xylocaine?

    <p>Increased myocardial irritability</p> Signup and view all the answers

    What is the maximum recommended dose of Xylocaine for pediatric cardiac indications when administered via endotracheal tube?

    <p>1-3 mg/kg via ET</p> Signup and view all the answers

    What is the recommended pediatric maintenance infusion rate for Xylocaine (Lidocaine) in treating cardiac indications?

    <p>20 - 50 mcg/kg/min</p> Signup and view all the answers

    What is the recommended dilution for preparing a Xylocaine (Lidocaine) infusion?

    <p>Mix 120 mg in 100 mL normal saline</p> Signup and view all the answers

    Which of the following is a listed contraindication or caution for the use of Xylocaine (Lidocaine)?

    <p>Bradycardia with escape PVCs</p> Signup and view all the answers

    What is the recommended adult dosage of Xylocaine (Lidocaine) for hemodynamically compromising premature ventricular contractions (PVCs)?

    <p>0.5 - 0.75 mg/kg IV push slowly, may repeat in 1/2 the initial dose</p> Signup and view all the answers

    According to the information provided, which of the following is NOT a listed indication for the use of Xylocaine (Lidocaine)?

    <p>Atrial fibrillation with rapid ventricular response</p> Signup and view all the answers

    What is the primary mechanism of action of Xylocaine (Lidocaine) in treating cardiac arrhythmias?

    <p>Blockade of sodium channels</p> Signup and view all the answers

    What is the recommended adult dosage of Xylocaine (Lidocaine) for stable ventricular tachycardia with a pulse?

    <p>0.5-0.75 mg/kg IV push, repeated in half the initial dose</p> Signup and view all the answers

    Which of the following is a listed indication for the use of Xylocaine (Lidocaine)?

    <p>Pulseless ventricular tachycardia and ventricular fibrillation that persists after defibrillation</p> Signup and view all the answers

    What is the maximum recommended pediatric dosage of Xylocaine (Lidocaine) for all cardiac indications when administered intravenously or intraosseously?

    <p>3.0 mg/kg</p> Signup and view all the answers

    What is the recommended dilution for preparing a Xylocaine (Lidocaine) infusion?

    <p>120 mg in 100 mL normal saline</p> Signup and view all the answers

    Which of the following is a listed serious adverse reaction of Xylocaine (Lidocaine)?

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

    What is the recommended adult maintenance infusion rate for Xylocaine (Lidocaine) in treating cardiac indications?

    <p>1-4 mg/min</p> Signup and view all the answers

    What is the primary mechanism of action of Xylocaine (Lidocaine) in treating cardiac arrhythmias?

    <p>Blocks sodium channels, reducing myocardial irritability, automaticity, conduction, and excitability</p> Signup and view all the answers

    Which of the following is a listed serious adverse reaction of Xylocaine (Lidocaine)?

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

    What is the recommended adult maintenance infusion rate for Xylocaine (Lidocaine) in treating cardiac indications?

    <p>1-4 mg/min</p> Signup and view all the answers

    For which condition would Xylocaine be used as a pretreatment agent?

    <p>Suspected increased intracranial pressure (ICP) in rapid sequence intubation (RSI) protocols</p> Signup and view all the answers

    What is the maximum recommended adult dosage of Xylocaine (Lidocaine) for cardiac arrest (VF/pVT) when administered as an IV push?

    <p>1.0-1.5 mg/kg</p> Signup and view all the answers

    Which of the following is a listed indication for the use of Xylocaine (Lidocaine)?

    <p>All of the above</p> Signup and view all the answers

    Which dosage form of Xylocaine (Lidocaine) is recommended for the treatment of suspected increased intracranial pressure (ICP) during rapid sequence intubation (RSI)?

    <p>Intravenous bolus</p> Signup and view all the answers

    What is the recommended initial bolus dose of Xylocaine (Lidocaine) for the treatment of hemodynamically compromising premature ventricular contractions (PVCs) in adults?

    <p>0.5 - 0.75 mg/kg IV push</p> Signup and view all the answers

    Which of the following is a listed contraindication or caution for the use of Xylocaine (Lidocaine)?

    <p>Bradycardia with escape PVCs</p> Signup and view all the answers

    What is the maximum recommended total dose of Xylocaine (Lidocaine) for an adult patient experiencing cardiac arrest (ventricular fibrillation or pulseless ventricular tachycardia)?

    <p>3.0 mg/kg</p> Signup and view all the answers

    Which of the following is the primary mechanism of action of Xylocaine (Lidocaine) in treating cardiac arrhythmias?

    <p>Blockage of sodium channels</p> Signup and view all the answers

    Which of the following is a listed indication for the use of Xylocaine (Lidocaine)?

    <p>Stable ventricular tachycardia with a pulse</p> Signup and view all the answers

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