Lithium carbonate

Lidocaine hydrochloride injection [HAD-2]...HN. .. . Diagnosis....

IV regional anesthesia : lidocaine 0.5-1 % ( 0.25-0.5 %) 3 mg/kg

Infiltration anesthesia

oral infiltration / mandibular block : 1-5 mL. (20-100 mg) Lidocaine 2 % with epinephrine 1:100,000 ( epinephrine 1:50,000 hemostasis ) Nerve block (peripheral , sympathetic , epidural , caudal)

Continuous epidural/caudal anesthesia : Lidocaine HCl 1-2 % (/ epinephrine ) 1 Spinal block anesthesia : 100 mg

anesthesia other than spinal

: single dose 4.5 mg/kg ( 300 mg) 7 mg/kg ( 500 mg) lidocaine epinephrine

4 : single dose 4.5 mg/kg

lidocaine 2 % Lidocaine 400 mg /1 vial (20 mL)

/ infiltration , epidural/caudal block , peripheral/sympathetic nerve block subarachnoid block

lidocaine IV regional anesthesia 0.5 % lidocaine injection epinephrine 4 mg/kg

lidocaine HCl solution spinal/epidural/caudal block

spinal anesthesia lidocaine HCl 1-2 % (/ epinephrine) epidural/caudal anesthesia

lidocaine solution 15-30 ( 40 ) lidocaine (cross-sensitivities) amide flecainide / tocainide lidocaine lidocaine [FDA Pregnancy category B () , category C ()] (fetus) lidocaine local anesthetics ntimicrobial preservatives epidural spinal anesthesia

lidocaine bisulfite bisulfite

lidocaine epinephrine lidocaine (multidose vials) (poor aseptic technique) lidocaine single-dose vials (overdose) (contamination) multidose vial topical lidocaine multidose vial topical lidocaine

2-25 30 Monitoring Parameter

Toxic : lidocaine blood vessels Therapeutic : Vital signs , state of conciousness local anesthetic injection , BP ( lidocaine spinal anesthesia)

Lidocaine hydrochloride injection [HAD-2]...HN. .. . Diagnosis....

/

(difficulty in breathing)

(severe dizziness)

(seizure)

:

1

(blurred/double vision)

(ringing on ear)

(tremor) / (twitching)

24

//

cardiac toxicity (sinus arrest , A-V block , asystole , hypotension , prolonged QRS QT interval) , , , GI disturbance

lidocaine vasopressor ( epinephrine) IV fluid ()

antiarrhythmics , sodium bicarbonate reverse QRS prolongation , bradyarrhythmias hypotension dialysis , hemoperfusion repeat charcoal