DRUG STUDY Medical Diagnosis: hydrocephalus, status post- shunt insertion Category: Indication/ Contraindication INDICATIONS: Local or regional

anesthetic. Management of acute ventricular arrhythmias during cardiac manipulation. Control of status epilepticus refractory to other treatments. CONTRADICTIONS: Heart block or other conduction disturbances. Hypovolemia and hypersensitivity to amide local anesthetics. Infection or inflammation in the area of injection. Mechanism of Action Increases electrical stimulation threshold of ventricle and HisPurkinje system by direct action on tissues, resulting to decrease depolarization, automaticity and excitability in ventricles during diastolic phase. Side Effects/ Adverse Effects • GI disturbances • Bradycardia • Hypotension • Convulsion • Numbness of tongue • Muscle twitching • Restlessness • Nervousness • Dizziness • Blurred vision • Lightheadedness • Drowsiness • Euphoria • Vomiting Nursing Considerations • Monitor vital signs and notify the physician of abnormalities. • Assess patient’s condition before therapy and reassess regularly thereafter to monitor drug’s effectiveness. • Monitor for possible adverse drug reactions. • Assess for renal and urinary status. • Monitor CNS function. • Monitor blood levels and report abnormal results.

Generic Name: lidocaine Brand Name: Classification: Cardiovascular Drug Dosage: 0.5 ml Frequency: NOW Route: Intraosseous

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