DRUG STUDY

Name of Student Nurse: Carissa Mae T. Estrada Date:

Level/Block/Group: 2BSN-04 Hospital/Area:
Clinical Instructor: Ma’am/Mrs. Apolonia Dela Cruz

LIDOCAINE

NAME OF DRUG MECHANISM CONTRAINDIC SIDE EFFECTS ADVERSE EFFECT NURSING

OF ACTION ATIONS RESPOSIBILITIES
GENERIC NAME Lidocaine alters Hypersensitivit Low blood CNS : nervousness, Monitor the ECG
Lidocaine signal y to lidocaine pressure agitation, anxiety, continuously. Blood
conduction in or amide-type (hypotension) apprehension, pressure and
neurons by local tingling around the respiratory status
BRAND NAME
prolonging the anesthetic Swelling mouth, headache, should be monitored
Xylocaine,
inactivation of (edema) hyperesthesia, frequently during the
Lidocaine CV,
the fast voltage- Adams-Stokes tremor, dizziness, drug administration.
Lidopen,Agoneaze
gated Na+ syndrome, Redness at pupillary changes,
, Curacaine,
channels in the SA/AV/intrave the injection psychosis, When IM injections are
Dermacinrx Lido V
neuronal cell ntricular heart site euphoria, used, the medication
z Pak
membrane block in the hallucinations, and should be
CLASSIFICATION
responsible for absence of an Small red or seizures administered in the
Anesthetic – action potential artificial purple spots deltoid muscle only
topical or local, propagation. pacemaker on the skin Cardiovascular: while frequently
Antiarrythmics With sufficient hypotension, aspirating to prevent IV
blockage, the CHF, Skin irritation bradycardia, injection
Pregnancy voltage-gated cardiogenic arrhythmias,
Category B sodium shock, 2nd and Constipation flushing, venous Undiluted IV loading
INDICATION channels will 3rd-degree insufficiency, dose of Lidocaine is
not open and an heart block (if Nausea increased administered at 1
Ventricular ectopy
action potential no pacemaker defibrillator mg/kg at a rate of 25
(PVC's)
will not be is present), Vomiting threshold, edema, to 50 mg over 1
generated. Wolff- and/or cardiac minute. The dose may
Stable ventricular
Careful titration Parkinson- Confusion arrest – some of be repeated after 5
tachycardia
allows for a high White which may be due minutes.
degree of Syndrome Dizziness to hypoxemia
alternative to
selectivity in the secondary to The numbness of the
amiodarone
blockage of Headache respiratory affected part should be
during pulseless
sensory Numbness depression assessed.
ventricular
neurons, and tingling
tachycardia/fibrilla
whereas higher GI: Serum Lidocaine levels
tion code
concentrations Drowsiness metallic taste, should be monitored
also affect other nausea, vomiting frequently during
types of Tremor prolonged use.
DOSAGE & neurons. Ears: tinnitus Therapeutic serum
FREQUENCY
Arrhythmia: Irritation lidocaine levels range
(Adult) The same symptoms Eyes: local burning, from 1.5 to 5 mcg/ml.
principle applies (topical conjunctival
IM for this drug's products); i.e., hyperemia, corneal
10% solution for actions in the redness, epithelial Assess neurological
IM injection. 300 heart. Blocking swelling changes/ulceration, and respiratory status
mg in deltoid or sodium diplopia, visual frequently for signs of
thigh muscle. channels in the changes toxicity.
Switch to IV conduction (opacification)
lidocaine or oral system, as well
antiarrhythmic as as the muscle Skin: itching,
soon as possible. cells of the depigmentation,
heart, raises the rash, urticaria,
IV bolus depolarization edema,
50–100 mg at rate threshold, angioedema,
of 25–50 mg/min. making the bruising,
One-third to one- heart less likely inflammation of the
half the initial to initiate or vein at the injection
dose may be given conduct early site, irritation of
after 5 min if action the skin when
needed. Do not potentials that applied topically
exceed 200–300 may cause an
mg in 1 hr. arrhythmia. Blood:
methemoglobinemi
IV, continuous a
infusion

1–4 mg/min (or

20–50
mcg/kg/min)