local anesthetic

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Last updated 1:58 AM on 9/13/26
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5 Terms

1
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lidocaine

amide

MOA:

  • decreased neuron permeability to sodium ion

  • block nerve conduction

use:

  • numb specific area

AE:

  • LAST

  • anxiety

contraindication:

  • hypersensitivity

  • sepsis

  • cardiac abnorm

nurse:

  • check preservative free

  • route / form


2
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LAST

metallic taste

tinnitus

agitation

3
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bupivacaine

amide

MOA:

  • longer act , more potent

  • increased risk of toxic

BBW:

  • 0.75% epidural pregnant women

  • cardiac

  • difficult resuscit

nurse:

  • test full dose before full dose


4
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chloroprocaine

use:

  • nerve block

  • infiltration

  • caudal block

AE:

  • LAST

  • hypersensitivity

contraindication:

  • hypersensitivity

  • subarachnoid administer

nurse:

  • preservative don’t use for lumbar / caudal epidural


5
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pediatric

EMLA cream

  • lidocaine + prilocaine

LET solution / gel

  • lidocaine + epinephrine + tetracaine

LMX

  • liposomal lidocaine 4 / 5