Page 324 - ATP-P 11th Ed

Side-effects:
• Gastrointestinal symptoms
• Gastrointestinal bleeding
• Stomach pain
• Heartburn
TMEP use: Pain Management Protocol

Lamivudine and Zidovudine (AZT, ZDV) – See Combivir ®
Lariam – See Mefloquine
®
Lidocaine HCI
Aviation personnel are grounded for 12 hours after the use of local anesthesia and
until symptoms have resolved enough to allow safe performance of duties.
Description: Local anesthetic; see ACLS drugs for cardiac therapy.
SECTION 3 intense vasoconstriction and prolongs the duration of the anesthesia. These solutions are
CAUTION: Some lidocaine solutions contain 1:10,000 epinephrine. This causes
identified by a red label or red lettering on the label. DO NOT use solutions containing
epinephrine on or near the fingers, toes, nose, ears, or penis.
Indications:
• Local anesthetic: Suturing, debridement, nerve blocks, thoracostomy, or other similar
procedures. Duration of anesthesia is 30 to 60 minutes.
• Cardiac Use: Use ACLS Protocols
Dose (Local anesthesia): To desired effect. Maximum single adult dose is 4.5mg/kg or
300mg (15mL of the 2% solution contains 300mg lidocaine).
• Note 1: This is a different max dose than with IV lidocaine for ACLS use.
• Note 2: 2% lidocaine contains 20mg of lidocaine per mL. Diluting 2% lidocaine 1:1
with normal saline gives a 1% solution (10mg per mL) that is just as effective as the 2%
solution.
Contraindications:
• 2 degree, 3 degree AV block
rd
nd
• Hypotension
• Stokes-Adams syndrome
Pregnancy Category B
Side-effects:
• Slurred speech
• Altered mental status
• Tinnitus
• Edema

314 SECTION 3 RECOMMENDED DRUG LIST (RDL)