Lidocaine Hydrochloride Injection
1.Standard: BP
2.Specification:
a.Small volume injection: 2ml:40mg, 5ml:100mg, 5ml:50mg, 3.5ml:1%
b.Large volume injection:
Content: Lidocaine HCl (anhyd. ) 20 mg/ml
Sodium chloride 6 mg/ml
| Lidocaine injection |
50ml:1g
100ml:2g |
30
40 |
415×355×185
440×300×150 |
1008
1425 |
13.5
10.7 |
Indications and Usage for Lidocaine:
Lidocaine Injection, is indicated for production of local or regional anesthesia by infiltration techniques such as percutaneous injection and intravenous regional anesthesia by peripheral nerve block techniques such as brachial plexus and intercostal and by central neural techniques such as lumbar and caudal epidural blocks, when the accepted procedures for these techniques as described in standard textbooks are observed.
Contraindications:
1. Local anesthetic allergy is disabled;
2. Patients with adams's syndrome (acute cardiogenic cerebral ischemia syndrome), pre-excitation syndrome, a serious heart block (including the sinoatrial, atrioventricular and intraventricular conduction block) are venous disabled.
Precautions:
1. Prevent strayed into the blood vessels, pay attention to the treatment of the local anesthetic toxicity symptoms diagnosis;
2. Patients with liver and kidney dysfunction, liver blood flowing reduce, congestive heart failure, severe myocardial damage, hypovolemic or shock should use with caution;
3. Who are allergic to other local anesthetics may also allergic to the chemicals, but lidocaine and procainamide, Kuini Ting is no cross-allergic reactions reported;
4. Products should be strictly adhere to the concentration and total medication, excess can cause seizures and cardiac arrest;
5. The body metabolism is slower than procaine so that may appear accumulation function, which can cause poisoning and convulsions;
6. Certain diseases such as acute myocardial infarction is often accompanied by α 1-acid protein and proteinrate increased, lidocaine binding protein also increased and reduced the free plasma concentration;
7. During the treatment should carefully check blood pressure, ECG, and equipped with rescue equipment; The patients whose ECG PR interval prolongation or QRS complex widened, other arrhythmias, or the original arrhythmia aggravated should be discontinued immediately.
Adverse Reactions:
1. This product can be the role of the central nervous system, causing drowsiness, paresthesia, muscle tremor, convulsions, coma and respiratory depression and other adverse reactions;
2. Can cause hypotension and bradycardia. Plasma concentration is too high, can cause atrial conduction velocity, atrioventricular block, and the inhibition of myocardial contractility and cardiac output decline.
Lidocaine Dosage and Administration:
The usual dose for adults used in anesthesia
1. A surface anesthesia: 2%~4% solution, not exceed 100mg one time. Injection does not exceed 4.5mg/kg(without epinephrine) and 7mg/kg (with epinephrine of 1: 200000);
2. Caudal block for labor analgesia: 1.0% solution, a limit of 200mg;
3. Epidural block: The thoracolumbar use 1.5% to 2.0% solution, 250~300mg;
4. Anesthesia or intravenous regional anesthesia: 0.25% to 0.5% solution, 50 to 300mg
5. Peripheral nerve block: Brachial plexus (one side) with 1.5% solution, 250 ~ 300mg; Dental use 2% solution, 20 ~ 100mg; Intercostal nerves (each) with 1% solution.
STORAGE:
Store at room temperature between 15-30 celsius degrees. Do not refrigerate. Keep all medicines away from children and pets.
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