Lidocaine  Xylocaine ®

Usual Diluents

D5W,  NS

Standard Dilutions   [Amount of drug]  [Infusion volume]  [Infusion rate]

[2 grams] [250 ml] [As directed] [1-2 grams] [250-500 ml][As directed] Stability/Miscellaneous

Stability / Miscellaneous

Maximum concentration: 8 mg/ml Dosing:  Treat Vtach / V fib: 50 to 100mg (1 to 1.5 mg/kg) IV bolus (25 to 50 mg/min).  Decrease by 50% in elderly /CHF /Hepatic disease. Repeat bolus q3 to 5min until arrhythmia subsides or side effects (convulsions /hypo-tension /bradycardia).  Do not exceed 3 mg/ kg bolus in a 1 hour period.  IV infusion: 1 to 4 mg/ min.  Calculation of drip rate:  1 gram/250 ml (ml/hr) = mg/min x 15. Decrease rate by 50% after 24 hours.