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Lignocaine

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Question
Answer
TYPE   1. Local anaesthetic 2. Anti-arrhythmic  
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PRESENTATION   50 mg in 5ml – plastic ampoule  
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ACTIONS   1. Local anaesthetic effects 2. Suppresses ventricular arrhythmias Onset S/C: 1 – 4 minutes Max effect: 5 – 10 minutes  
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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  
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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  
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CONTRA-INDICATIONS:   Known hypersensitivity  
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DOSE:Local anaesthesia   Adult and Paediatric - up to 5mls subcutaneously  
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VT with cardiac output:   1 mg/kg – slow IV (over 2 minutes)  
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IO in an aware patient:   Adult: 2 - 4mls first flush Paediatric: 1 - 2mls first flush  
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