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Lignocaine

QuestionAnswer
TYPE 1. Local anaesthetic 2. Anti-arrhythmic
PRESENTATION 50 mg in 5ml – plastic ampoule
ACTIONS 1. Local anaesthetic effects 2. Suppresses ventricular arrhythmias Onset S/C: 1 – 4 minutes Max effect: 5 – 10 minutes
USES: 1. Local anaesthesia prior to invasive procedures 2. VT with cardiac output, in patients who cannot have Amiodarone 3. First flush for IO in an aware patient
ADVERSE EFFECTS: eff extremely unlikely in SC doses, esp if the syringe is continually aspirated. 1. C.N.S. effects stimulation followed by depressiondrowsiness, agitation, muscle twitching,seizures & coma 2 Cardiac effecthypotension, bradycardia, heart block, asystole
CONTRA-INDICATIONS: Known hypersensitivity
DOSE:Local anaesthesia Adult and Paediatric - up to 5mls subcutaneously
VT with cardiac output: 1 mg/kg – slow IV (over 2 minutes)
IO in an aware patient: Adult: 2 - 4mls first flush Paediatric: 1 - 2mls first flush
Created by: mattypepper
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