Adult:
Cardiac Arrest – Ventricular Fibrillation or Pulseless Ventricular Tachycardia:
1.0 -1.5 mg/kg IV/IO (ET dose 2 to 2.5 times normal dose). Repeat every 3-5 minutes to maximum total dose of 3 mg/kg.
Ventricular Tachycardia with a pulse:
1.0-1.5 mg/kg, repeat at half dose in 10 minutes. If conversion is successful, consider Lidocaine drip ONLY after patient becomes hemodynamically stable. Initiate at 2 mg/minute and titrate to maximum of 4 mg/minute.
Pain management following IO placement:
20 mg – 40 mg Lidocaine 2% slowly through the IO site. Administer small increments and wait approximately 30 – 60 seconds before flushing with normal saline.