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lidocaine

lidocaine
  • Restricted Medications Cardiac Monitor (IV)
Drug Name Form Strength Non-Formulary Restricted TX Sub Notes
Xylocaine-MPF SOLUTION, INJECTABLE 0.5% MPF; 1% MPF; 2% MPF; 4% MPF      
Xylocaine SOLUTION, INJECTABLE 1%; 2%      
lidocaine drip in D5W SOLUTION, INTRAVENOUS 0.4% (2 g / 500 mL)      
Display Class Ib Antiarrhythmics, Local Anesthetics Class : 24040408, 720000
Medication comments:

lidocaine should generally not be interrupted during procedures unless there is a specific physician order.
During shortage, OR staff can prepare these products at bedside:
EPINEPHrine 1:1000 (1 mg/mL) Volume needed Local Anesthetic Product and Volume needed Final Product Expiration
0.2 mL Lidocaine 1% 20 mL vial
Lidocaine 1% with EPINEPHrine 1:100,000
 Immediate use 60 minutes
Per policy, these medications require cardiac and/or special monitoring.
(KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes CCU, OR, PACU, CCL, ED PCU 2N (Tele) 1N (Tele), 3N (Tele) Med/Surg (1N w/o Tele, 3N w/o Tele, 4N, 5N) BirthPlace SNF ICS OPS
lidocaine (Xylocaine)
IV Push, IV Infusion		 Y N N N N N N N N
Iredell Memorial Hospital ICU Adult Infusion Guidelines  
Note: This information is intended to serve as a guide outlining the most commonly accepted infusion rates to date. However, it is recognized that some patients may require safe and therapeutic doses outside of the stated range for medical management. Unless otherwise specified by the physician, infusions are to be initiated at the lowest dose and titrated accordingly to specified parameters while documenting patient response and tolerability.
Drug Name Onset Preparation Compatible fluids
lidocaine (Xylocaine) 45-90 sec 2 grams/500 ml D5W NS and D5W
Normal Dosage Titration Guidelines (for increasing and decreasing doses)
1 -4 mg/min No titration
Last updated: Jan. 17, 2025
  • Look-Alike/Sound-Alike lidocaine confused with ropivacaine, bupivacaine, mepivacaine
UpToDate Lexidrug

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