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ERA Lidocaine

The document outlines the drug Lidocaine, detailing its mechanism of action as a local anesthetic and antiarrhythmic agent, along with its indications and contraindications. It lists potential side effects, nursing responsibilities for monitoring patients, and specific dosage guidelines for various administration routes. The document emphasizes patient education regarding the application and potential adverse effects of Lidocaine.

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bryan lanuza
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9 views1 page

ERA Lidocaine

The document outlines the drug Lidocaine, detailing its mechanism of action as a local anesthetic and antiarrhythmic agent, along with its indications and contraindications. It lists potential side effects, nursing responsibilities for monitoring patients, and specific dosage guidelines for various administration routes. The document emphasizes patient education regarding the application and potential adverse effects of Lidocaine.

Uploaded by

bryan lanuza
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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DRUG STUDY

Initials of patient: _________________ Clinical Area __________________

Chief Complaint/s: ________________ Shift: _______________


DRUG MECHANISM OF INDICATION/S CONTRAINDICATION/S EFFECTS NURSING
ACTION/S RESPONSIBILITIES
Generic Name:Lidocaine · Local anesthesia Hypersensitivity to Side Effects: -For local anesthesia:
Lidocaine blocks for minor surgical or lidocaine or amide-type Monitor for allergic reactions
Brand Name:Xylocaine, Lignocaine · Dizziness and toxicity (tingling,
sodium channels in dental procedures local anesthetics
· Drowsiness numbness, metallic taste).
Classification: neuronal and · Hypotension
- Therapeutic: Local anesthetic,
Antiarrhythmic
cardiac cells, · Epidural Severe heart block · Nausea -For IV use in arrhythmias:
- Pharmacologic: Sodium channel preventing anesthesia during without a pacemaker · Paresthesia (tingling Monitor ECG, heart rate, and
blocker (Class Ib antiarrhythmic) depolarization. This labor and surgery sensation) blood pressure continuously.
Dosage:· Local Anesthesia:
action results in Wolff-Parkinson-White · Local irritation or erythema
local anesthesia by · Cardiac ventricular syndrome (for IV use) (topical use)
Infiltration: 0.5%–2% solution (max -For epidural administration:
300 mg without epinephrine, 500 mg inhibiting nerve arrhythmias like Assess for hypotension and
with epinephrine)
Topical: 2%–5% gel or ointment
impulse ventricular Infection at injection site Adverse Effects:
urinary retention.
Epidural: 50–100 mg initially, transmission and tachycardia, (for local anesthesia) · Seizures
followed by incremental dosing stabilizes cardiac ventricular · Respiratory depression -For topical use: Avoid
· Cardiac Arrhythmia: application to broken skin or
IV Bolus: 50–100 mg at 25–50
membranes to fibrillation · Bradycardia
prevent abnormal · Cardiac arrest (high IV doses) large areas to prevent
mg/min
· Methemoglobinemia systemic absorption.
IV Infusion: 1–4 mg/min electrical activity in · Pain relief in
Route:IV, IM, Subcutaneous,
arrhythmias. postherpetic -Patient Education: Advise
Topical, Epidural neuralgia (patch patients to avoid touching or
form) rubbing the treated area and
Frequency:As prescribed,
depending on indication report any unusual
numbness or tingling.
Form: Injectable solution, topical
gel, ointment, transdermal patch

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