Lignocaine Flashcards

1
Q

Lignocaine

Presentation

A

20mg/2ml OR 50mg/5mL; (both 1%) in a plastic ampoule

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2
Q

Lignocaine

Use

A
Local anaesthesia for:
•	IV cannulation
•	IO infusion
•	Suturing
•	Finger thoracostomy in the conscious patient
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3
Q

Lignocaine

Type

A

• Sodium Channel blocker.

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4
Q

Lignocaine

Dose

A
Intradermal:
•	0.1ml
Intraosseous:
•	Small child: 10mg in 1ml
•	Small adult/large child: 20mg in 2ml
•	Adult: 40mg in 4ml (2 ampoules)
May be repeated at a second site if needed.
Finger Thoracostomy:
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5
Q

Lignocaine

Actions

A

• Onset 1-2 minutes.

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6
Q

Lignocaine

Contraindications

A

• Hypersensitivity

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7
Q

Lignocaine

Adverse effects

A

• Tinnitus, dizziness, anxiety, confusion, perioral numbness
• Cardiovascular effects: Bradycardia, hypotension, dysrhythmias
• CNS effects
• Respiratory depression
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8
Q

Lignocaine

Precautions

A

• Adverse drug reactions are rare when lignocaine is used as a local anaesthetic and is administered correctl.

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