LIDOCAINE (XYLOCAINE)

Question 1

CLASS

Answer 1

ANTIDYSRYTHMIC (CLASS IB), LOCAL ANESTHETIC

Question 2

DESCRIPTION

Answer 2

DECREASES PHASE 4 DIASTOLIC DEPOLARIZATION AND HAS BEEN SHOWN TO BE EFFECTIVE IN SUPPRESSING VENTRICULAR COMPLEXES

Question 3

ONSET & DURATION

Answer 3

ONSET- 45-90 SECONDS
DURATION- 10-20 MINUTES

Question 4

INDICATIONS

Answer 4

CARDIAC RREST FROM VT OR VF
-STABLE MONOMORPHIC VT WITH PERSERVED VENTRICULAR FUNCTION
-STABLE POLYMORPHIC VT WITH NORMAL BASELINE
-WIDE- COMPLEX TACHYCARDIA OF UNCERTAIN ORIGIN

Question 5

CONTRADICTIONS

Answer 5

PROPHYLACTIC USE IN ACUTE MI
-HYPERSENSITIVITY OT LIDOCAINE OR AMIDE- TYPE ANESTHETICS
STROKES-ADAMS SYNDROME
3RD OR 2ND DEGREE HEART BLOCK
WPW SYNDROME

Question 6

ADVERSE REACTIONS

Answer 6

LIGHT HEADEDNESS
CONFUSION, BLURRED VISION, HYPOTENSION, BRADYCARDIA, CARDIOVASCULAR COLLAPSE, ALOC, HEADACHE, SEIZURES