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Category:
Description:
Indications:
-
LOCAL:
infiltration anesthesia, nerve block
-
TOP
(spray, ointment, solution) : anesthesia of skin and accessible mucous
membranes
-
TOP
(jelly): anesthesia of urethra, anesthetic lubricant for endotracheal
intubation
Contraindications:
-
Hypersensitivity
to amide anesthetics, heart block, septicemia, ophthalmic use
-
Spinal
anesthesia (preparations containing preservatives)
Precautions:
-
Pregnancy
category C
-
Inflammation,
sepsis, shock
-
Elderly,
children, severe liver disease
Adverse
Reactions (Side Effects):
-
CNS:
anxiety, disorientation, seizures, shivering, tremors, loss of
consciousness
-
CV:
bradycardia, cardiac arrest, dysrhythmias, myocardial depression
-
EENT:
blurred vision, tinnitus
-
RESP:
respiratory arrest, status asthmaticus
-
SKIN:
allergic reactions, burning, edema, irritation, rash, tissue necrosis,
urticaria
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Dosage:
Administered
topically, injection
-
Adult
and Child:
-
LOCAL
varies with procedure, degree of anesthesia desired, vascularity
of tissue, duration of anesthesia required, and physical condition
of patient; max 4.5 mg/kg/dose, do not repeat within 2 hours
-
TOP
apply to affected area as needed, max 3 mg/kg/dose, do not repeat
within 2 hours
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The information contained here is an abbreviated summary. For more detailed
and complete information, consult the manufacturer's product information sheets
or standard textbooks. Source:
Operational Medicine 2001, Health
Care in Military Settings, NAVMED P-5139, May 1, 2001, Bureau
of Medicine and Surgery, Department
of the Navy, 2300 E Street NW, Washington, D.C., 20372-5300
OB-GYN 101:
Introductory Obstetrics & Gynecology
© 2003, 2004, 2005, 2008
Medical Education Division,
Brookside Associates, Ltd.
All rights reserved
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