Name of Student: MANUEL, RHADALIE V.

Date: 10/13/22

Level/Block/Group: 2/19 Clinical Instructors: Mrs. Belinda S. De Vera

Ms. April N. Gapasen

NURSING
NAME OF DRUG MECHANISM OF CONTRAINDICATIONS SIDE EFFECTS ADVERSE EFFECTS
RESPONSIBILITIES
ACTION
When  The drug is COMMON SIDE EFFECTS OF CARDIOVASCULAR:
GENERIC NAME
administered contraindicated in LIDOCAINE INCLUDE: bradycardia,  Check BP and
intramuscularly patients with a known hypotension and cardiac monitor
or intravenously, severe adverse reaction.  Low blood pressure asystole prior to
Lidocaine
Lidocaine Anaphylactic reactions (hypotension) administration
suppresses the to lidocaine are possible  Swelling (edema) CENTRAL NERVOUS of lidocaine.
automaticity and but rare.  Redness at the SYSTEM:  For stable
BRAND NAME
spontaneous injection site Tremor (usually the patients, doses
Agoneaze, depolarization of  Methemoglobinemia  Small red or purple first sign of toxicity) should be given
Akten, Alivio, the ventricles can occur due to spots on the skin Dizziness slow IV push at
Anestacon, during diastole lidocaine metabolism to  Skin irritation Dysarthria Agitation 25 mg/minute.
Anodyne Lpt, by altering the O-toluidine.[6] This  Constipation Hallucination  Monitor blood
Astero, Band-aid flux of sodium metabolite is more likely  Nausea Drowsiness pressure and
Hurt-free, ions across the to be present when very  Vomiting cardiac monitor
Cathejell, cell membrane high doses are given, but  Confusion GASTROINTESTINAL during therapy
Curacaine with little or no it may also occur with  Dizziness : with lidocaine.
effect on the lower doses where the  Headache Nausea  Assess
CLASSIFICATION
heart. Locally, it patient is taking other  Numbness and Vomiting neurological
produces local medications that can tingling Poor appetite and respiratory
AMIDE TYPE OF
anesthesia effect precipitate  Drowsiness status
LOCAL
by inhibiting the methemoglobinemia or  Tremor GENITOURINARY frequently for
ANESTHETIC
transport of ions where the patient has a  Irritation symptoms SYSTEM: signs of toxicity.
across the neural hemoglobinopathy or (topical products); Spinal anesthesia  When treating a
INDICATION
membranes. another cause of i.e., redness, with lidocaine patient for
Lidocaine is a Thus, initiation anemia. causes a clinically ventricular
swelling
local anesthetic and conduction significant dysrhythmias
used in a wide of normal nerve  Lidocaine should not be disturbance of with lidocaine,
variety of impulses is used as an SERIOUS SIDE EFFECTS OF bladder function due an IV infusion
superficial and prevented. antiarrhythmic if the LIDOCAINE INCLUDE: to interruption of (drip) must be
invasive
 procedures. dysrhythmia may be the micturition started soon
DOSAGE & secondary to local  Cardiac arrest reflex. after the bolus
FREQEUNCY anesthetic toxicity. or serum level
 Abnormal heartbeat
will drop below
LUMBAR  Lidocaine preparations  Methemoglobinemia therapeutic
EPIDURAL 250- containing epinephrine  Seizures range and
300 mg (as 1% cause demonstrable  Severe allergic reactions ventricular
soln) for cardiovascular effects (anaphylaxis) dysrhythmias
analgesia and even if only given in will return.
small amounts, and it is  Malignant hyperthermia  Therapeutic
225-300 mg (as
1.5% soln) or prudent for essential serum level is
200-300 mg (as hemodynamic 1.5 – 5 mcg/ml.
2% soln) for monitoring to be carried  If patient
anaesth; out before and during appears upset
THORACIC use solutions containing or agitated,
EPIDURAL 200- vasopressors, consider
300 mg (as 1% particularly if there is lidocaine
soln). For any specific concern toxicity. If
obstetric caudal over the patient's toxicity is
analgesia, 200- cardiovascular status. evident, simply
300 mg (as 1% discontinue IV
soln); infusion–serum
SURGICAL levels drop in
CAUDAL 10-20 minutes.
ANAESTH
225-300 mg (as
1.5% soln). For
continuous
epidural or
caudal anaesth,
not to repeat
max doses more
frequently than
1.5 hrly;

Intramuscular
300 mg injected
into the deltoid
muscle, repeat
after 60-90 min
if necessary.

Intraspinal
 As hyperbaric
soln of 1.5% or
5% lidocaine in
7.5% glucose
soln. Normal
vaginal delivery:
Up to 50 mg (as
5% soln) or 9-15
mg (as 1.5%
soln). Caesarian
operation: Up to
75 mg (as 5%
soln). Other
surgical
procedures: 75-
100 mg.

Intravenous
1-1.5 mg/kg
repeated as
necessary. Max:
3 mg/kg. For
ventricular
arrhythmias in
more stable
patients: Usual
loading dose:
50-100 mg as an
IV inj at 25-50
mg/min, may
repeat once or
twice up to a
max of 200-300
mg in 1 hr,
followed by 1-4
mg/min via
continuous IV
infusion. May
need to reduce
dose if the
infusion is
longer than 24
hr.