Lidocaine, 2%

Question 1

Lidocaine 2%

Classification -

1. ___

Answer 1

Lidocaine 2%

Classification -

1. Antiarrhythmic.

Question 2

Lidocaine 2%

Action -

1. ___
2. ___

Answer 2

Lidocaine 2%

Action -

1. Suppresses ventricular arrhythmias.
2. Local anesthetic.

Question 3

Lidocaine 2%

Onset of Action -

1. IV/IO: ___
2. ET: ___

Answer 3

Lidocaine 2%

Onset of Action -

1. IV/IO: Immediate;
2. ET: Immediate;

Question 4

Lidocaine 2%

Duration of Action -

1. IV/IO: ___
2. ET: ___

Answer 4

Lidocaine 2%

Duration of Action -

1. IV/IO: 10-20 minutes.
2. ET: 10-20 minutes.

Question 5

Lidocaine 2%

Indication -

1. ___
2. ___
3. ___

Answer 5

Lidocaine 2%

Indication -

1. Cardiac arrest from VF/VT.
2. Stable VT, wide-complex tachycardias of uncertain type, wide complex PSVT (Indeterminate).
3. As anesthetic flush prior to IO infusion for adult patients that are awake.

Question 6

Lidocane 2%

Contraindication -

1. ___
2. ___
3. ___

Answer 6

Lidocane 2%

Contraindication -

1. Known hypersensitivity.
2. Heart blocks.
3. WPW.

Question 7

Lidocaine 2%

Use With Caution -

1. ___
2. ___
3. ___
4. ___
5. ___

Answer 7

Lidocaine 2%

Use With Caution -

1. Liver disease.
2. Congestive heart failure.
3. Severe respiratory depression.
4. Hypovolemia.
5. Shock.

Question 8

Lidocaine 2%

Dosage and Administration, Adult -

1. Cardiac arrest from VF/VT, use as follows:
   a. Initial dose: ___
   b. For refractory VF: ___
   c. ET dose: ___

Answer 8

Lidocaine 2%

Dosage and Administration, Adult -

1. Cardiac arrest from VF/VT, use as follows:
   a. Initial dose: 1-1.5 mg/kg IV/IO bolus.
   b. For refractory VF: may give additional 0.5-0.75 mg/kg IV/IO, repeat in 5-10 minutes; maximum is 3 doses or maximum total of 3 mg/kg.
   c. ET dose: 2-3 mg/kg in 10 mL NS.

Note: In patients with liver disease or severe congestive heart failure, administer half of the above recommended doses for maintenance dose (not initial).

Question 9

Lidocaine 2%

Dosage and Administration, Adult -

1. Perfusing arrhythmia of stable VT, wide complex tachycardia of uncertain type, use as follows:
   a. Initial dose: ___
   b. Repeat ___

Answer 9

Lidocaine 2%

Dosage and Administration, Adult -

1. Perfusing arrhythmia of stable VT, wide complex tachycardia of uncertain type, use as follows:
   a. Initial dose: 1 mg/kg IV/IO.
   b. Repeat 0.5 mg/kg IV/IO every 5-10 minutes, maximum total dose is 3 mg/kg.

Note: In patients with liver disease or severe congestive heart failure, administer half of the above recommended doses for maintenance dose (not initial).

Question 10

Lidocaine 2%

Dosage and Administration, Adult -

1. Maintenance infusion: ___

Answer 10

Lidocaine 2%

Dosage and Administration, Adult -

1. Maintenance infusion: Mix 1 gm in 250 mL of NS = 4 mg/mL or use premixed solution at 1-4 mg/minute.

Note: In patients with liver disease or severe congestive heart failure, administer half of the above recommended doses for maintenance dose (not initial).

Question 11

Lidocaine 2%

Dosage and Administration -

1. Pediatric: ___

Answer 11

Lidocaine 2%

Dosage and Administration -

1. Pediatric: 1 mg/kg IV/IO, OR 2-3 mg/kg in 5 mL NS ET.

Question 12

Lidocaine 2%

Dosage and Administration -

1. IO Anesthesia: Adult: ___

Answer 12

Lidocaine 2%

Dosage and Administration -

1. IO Anesthesia: Adult: 20-50 mg IO prior to infusion.

Question 13

Lidocaine 2%

Dosage and Administration -

1. IO Anesthesia: Pediatric: ___

Answer 13

Lidocaine 2%

Dosage and Administration -

1. IO Anesthesia: Pediatric: Contraindicated.

Question 14

Lidocaine 2%

Adverse Reaction -

1. CNS: ___
2. CV: ___
3. EENT: ___

Answer 14

Lidocaine 2%

Adverse Reaction -

1. CNS: Dizziness, Somnolence, Confusion, Parasthesias, Muscle Twitching, Seizures, Slurred Speech.
2. CV: Hypotension, Bradycardia.
3. EENT: Tinnitus, Blurred vision.