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
lidocaine (Xylocaine) IV Push, IV Infusion
Y
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: Apr. 23, 2024
Look-Alike/Sound-Alike lidocaine confused with ropivacaine, bupivacaine, mepivacaine
(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.
IV Push, IV Infusion