Lidocaine hydrochloride is a class 1b antiarrhythmic that decreases automaticity and excitability in the ventricles during diastole through direct action on tissues like the Purkinje network. It is indicated for ventricular arrhythmias from MI, cardiac manipulation, or cardiac glycosides. Contraindications include hypersensitivity, advanced heart block, and severe SA, AV, or intraventricular block without a pacemaker. Common side effects are CNS effects like confusion, tremors, and seizures as well as hypotension, bradycardia, and arrhythmias. Nursing responsibilities include monitoring for toxicity and side effects, informing patients about drug effects, and notifying providers if arrhythmias
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Lidocaine hydrochloride is a class 1b antiarrhythmic that decreases automaticity and excitability in the ventricles during diastole through direct action on tissues like the Purkinje network. It is indicated for ventricular arrhythmias from MI, cardiac manipulation, or cardiac glycosides. Contraindications include hypersensitivity, advanced heart block, and severe SA, AV, or intraventricular block without a pacemaker. Common side effects are CNS effects like confusion, tremors, and seizures as well as hypotension, bradycardia, and arrhythmias. Nursing responsibilities include monitoring for toxicity and side effects, informing patients about drug effects, and notifying providers if arrhythmias
Lidocaine hydrochloride is a class 1b antiarrhythmic that decreases automaticity and excitability in the ventricles during diastole through direct action on tissues like the Purkinje network. It is indicated for ventricular arrhythmias from MI, cardiac manipulation, or cardiac glycosides. Contraindications include hypersensitivity, advanced heart block, and severe SA, AV, or intraventricular block without a pacemaker. Common side effects are CNS effects like confusion, tremors, and seizures as well as hypotension, bradycardia, and arrhythmias. Nursing responsibilities include monitoring for toxicity and side effects, informing patients about drug effects, and notifying providers if arrhythmias
Copyright:
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Lidocaine hydrochloride is a class 1b antiarrhythmic that decreases automaticity and excitability in the ventricles during diastole through direct action on tissues like the Purkinje network. It is indicated for ventricular arrhythmias from MI, cardiac manipulation, or cardiac glycosides. Contraindications include hypersensitivity, advanced heart block, and severe SA, AV, or intraventricular block without a pacemaker. Common side effects are CNS effects like confusion, tremors, and seizures as well as hypotension, bradycardia, and arrhythmias. Nursing responsibilities include monitoring for toxicity and side effects, informing patients about drug effects, and notifying providers if arrhythmias
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Drug Data Classification Mechanism Indications Contraindications Side Effects Nursing responsibilities
>patients with CNS: confusion, Before:
Generic Name: Amide derivative; Action: >Ventricular hypersensitivity to amide- tremors, stupor, *monitor vital signs. Make Lidocaine hydrochloride antiarrhythmics A class Ib antiarrhythmics arrhythmias type local anesthetics restlessness, light sure BP, RR, and HR are (lignocaine that decreases the caused by MI, >those with Adams-Stoke headedness, seizures, normal. hydrochloride) depolarization, cardiac syndrome, Wolff- anxiety, lethargy, *Inform pt about effects automaticity, and manipulation, or Parkinson-White hallucinations, and drug info. Tell pt drug Trade Name: excitability in the ventricles cardiac glycosides syndrome, and severe nervousness, may cause soreness. Xylocaine during the diastolic phase degrees of SA, AV, or paresthesia, muscle During: by direct action on the intraventricular block in twitching *Give IM injections in the Min. Dose: tissues, especially the the absence of an artificial CV: hypotension, deltoid muscle only. 1mg/kg by I.V. Purkinje network. pacemaker. bradycardia, After: Onszet: Cautions: arrhythmias, cardiac *monitor drug leves, Max. Dose: IV: Immediate >pt with 2nd degree heart arrest isoenzymes, for toxicity, , 300mg I.M. IM: 5 to 15 min block or sinus bradycardia, EENT: tinnitus, side effects and vital signs. Peak: heart failure, renal or blurred/doubled vision *tell pt to report Contents: IV: Immediate hepatic disease GI: vomiting discomfort or adverse Lidocaine hcl, sodium IM: 10 min >elderly and those who Resp.: respiratory reactions. chloride, sodium Duration: weigh less than 50 kg. depression and arrest *if arrythmias or signs of hydroxide, hydrochloric IV: 10 to 20 min Drug to Drug Skin: soreness at toxicity occur, stop drug acid IM: 2 hr Interaction: injection site and notify Half-life: Atenolol, metoprolol, Others: anaphylaxis, prescriber/physician. Availability: 1½ to 2 hours (may be propranolol: reduced sensation of cold. Infusion; Injection for prolonged in patients with hepatic metabolism of IM, direct IV, and IV heart failure or hepatic lidocaine, increasing risk admixtures disease.) of toxicity Cimetidine: decreased Routes: clearance of lidocaine Intravenous, increasing toxicity Intramuscular