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Lidocaine injection is a local anesthetic (numbing medication). It works by blocking nerve signals in your body. Lidocaine injection is used to numb an area of your body to help reduce pain or discomfort caused by invasive medical procedures such as surgery, needle punctures, or insertion of a catheter...Lidocaine injection is a local anesthetic (numbing medication). It works by blocking nerve signals in your body.Lidocaine injection is used to numb an area of your body to help reduce pain or discomfort caused by invasive medical procedures such as surgery, needle punctures, or insertion of a catheter or breathing tube.Lidocaine injection is sometimes used to treat irregular heart rhythms that may signal a possible heart attack.Lidocaine injection is also given in an epidural (spinal block) to reduce the discomfort of contractions during labor.Lidocaine injection may also be used for purposes not listed in this medication guide.
What is the most important information I should know about lidocaine injection?You should not receive this medicine if you have severe heart block, or a heart rhythm disorder called Stokes-Adams syndrome or Wolff-Parkinson-White Syndrome.What should I discuss with my healthcare provider before receiving lidocaine injection?You should not receive this medicine if you are allergic to lidocaine injection or any other type of numbing medicine, or if you have:severe heart block;a heart rhythm disorder called Stokes-Adams syndrome (sudden slow heart beats that can cause you to faint); ora heart rhythm disorder called Wolff-Parkinson-White Syndrome (sudden fast heartbeats that can cause you to faint or become easily tired).To make sure lidocaine injection is safe for you, tell your doctor if you have:an allergy to corn products;liver disease;kidney disease;heart disease (unless you are being treated with lidocaine injection for a heart condition);coronary artery disease, circulation problems; or a history of malignant hyperthermia.It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant.Lidocaine can pass into breast milk, but effects on the nursing baby are not known. Tell your doctor if you are breast-feeding.
How is lidocaine injection given? A healthcare provider will give you this injection.Lidocaine injection is injected into a vein through an IV to treat heart rhythm problems.When used as a numbing medicine, lidocaine injection is injected through the skin directly into the body area to be numbed.Your breathing, blood pressure, oxygen levels, and other vital signs will be watched closely while you are receiving lidocaine injection in a hospital setting.If you are being treated for irregular heart rhythm, your heart rate will be constantly monitored using an electrocardiograph or ECG (sometimes called an EKG). This will help your doctor determine how long to treat you with lidocaine injection.What happens if I miss a dose? Since lidocaine injection is used only when needed in a clinical setting, you are not likely to miss a dose.What happens if I overdose?Seek emergency medical attention or call the Poison Help line or email us What should I avoid after receiving lidocaine injection?Lidocaine injection can cause side effects that may impair your thinking or reactions. Unless absolutely necessary, do not drive after receiving this medicine.Avoid eating or chewing within 1 hour after lidocaine injection is used to numb your mouth or throat. You may have trouble swallowing which could lead to choking. You may also accidentally bite the inside of your mouth if you are still numb an hour after treatment with lidocaine injection.Lidocaine injection side effects,Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.Tell your caregiver right away if you have:twitching, tremors, seizure (convulsions);a light-headed feeling, like you might pass out;slow heart rate, weak pulse, weak or shallow breathing;sudden feeling of warmth with muscle stiffness and pain;dark urine;blue appearance of the skin; orsevere anxiety, unusual fear or uneasy feeling.Common side effects may include:drowsiness, dizziness;vomiting;feeling hot or cold;confusion, ringing in your ears, blurred vision, double vision; or numbness in places where the medicine is accidentally applied.Lidocaine injection dosing informationUsual Adult Dose for Ventricular Fibrillation:Initial dose: 50 to 100 mg IV bolus once over 2 to 3 minutes; may repeat after 5 minutes if necessary not to exceed up to 300 mg in a 1-hour periodFollowing bolus administration: 1 to 4 mg/min continuous IV infusionComments:-Patients should be under constant ECG monitoring during administration of this drug.-Sufficient time should be allowed to enable a slow circulation to carry this drug to the site of action.
-The rate of the IV infusion should be reassessed as soon as the patient's basic cardiac rhythm appears stable or at the earliest signs of toxicity.Uses: For the acute management of ventricular arrhythmias occurring during cardiac manipulations, such as cardiac surgery; and for life-threatening arrhythmias which are ventricular in origin, such as those that occur during acute myocardial infarction,The American Heart Association (AHA) recommends:IV:-Initial dose: 1 to 1.5 mg/kg IV bolus once; may repeat if necessary at a dose of 0.5 to 0.75 mg/kg IV every 5 to 10 minutes up to a maximum cumulative dose of 3 mg/kg-Following bolus administration: 1 to 4 mg/min continuous IV infusion (30 to 50 mcg/kg/min) Endotracheal: May be administered endotracheally (bolus dose only) if IV access unavailable at a dose of 2 to 2.5 times the IV dose diluted in 5 to 10 mL NS or distilled water,Uses: For the treatment of ventricular fibrillation (VF) or pulseless ventricular tachycardia (pVT) unresponsive to CPR, defibrillation, and vasopressor therapy as an alternative to amiodarone,Usual Adult Dose for Ventricular Tachycardia:Initial dose: 50 to 100 mg IV bolus once over 2 to 3 minutes; may repeat after 5 minutes if necessary not to exceed up to 300 mg in a 1-hour period Following bolus administration: 1 to 4 mg/min continuous IV infusionComments:-Patients should be under constant ECG monitoring during administration of this drug.
-Sufficient time should be allowed to enable a slow circulation to carry this drug to the site of action.
-The rate of the IV infusion should be reassessed as soon as the patient's basic cardiac rhythm appears stable or at the earliest signs of toxicity.Uses: For the acute management of ventricular arrhythmias occurring during cardiac manipulations, such as cardiac surgery; and for life-threatening arrhythmias which are ventricular in origin, such as those that occur during acute myocardial infarction The American Heart Association (AHA) recommends:
IV:-Initial dose: 1 to 1.5 mg/kg IV bolus once; may repeat if necessary at a dose of 0.5 to 0.75 mg/kg IV every 5 to 10 minutes up to a maximum cumulative dose of 3 mg/kg-Following bolus administration: 1 to 4 mg/min continuous IV infusion (30 to 50 mcg/kg/min)Endotracheal: May be administered endotracheally (bolus dose only) if IV access unavailable at a dose of 2 to 2.5 times the IV dose diluted in 5 to 10 mL NS or distilled waterUses: For the treatment of ventricular fibrillation (VF) or pulseless ventricular tachycardia (pVT) unresponsive to CPR, defibrillation, and vasopressor therapy as an alternative to amiodaroneUsual Adult Dose for Cardiac Arrhythmia:Initial dose: 50 to 100 mg IV bolus once over 2 to 3 minutes; may repeat after 5 minutes if necessary not to exceed up to 300 mg in a 1-hour period
Following bolus administration: 1 to 4 mg/min continuous IV infusionThe American Heart Association (AHA) recommends:
IV:-Initial dose: 1 to 1.5 mg/kg IV bolus once; may repeat if necessary at a dose of 0.5 to 0.75 mg/kg IV every 5 to 10 minutes up to a maximum cumulative dose of 3 mg/kg-Following bolus administration: 1 to 4 mg/min continuous IV infusion (30 to 50 mcg/kg/min)Endotracheal: May be administered endotracheally (bolus dose only) if IV access unavailable at a dose of 2 to 2.5 times the IV dose diluted in 5 to 10 mL NS or distilled waterUses: For the treatment of ventricular fibrillation (VF) or pulseless ventricular tachycardia (pVT) unresponsive to CPR, defibrillation, and vasopressor therapy as an alternative to amiodarone
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