LAST

Question 1

Lidocaine Toxicity Symptoms 1-5

Answer 1

Analgesia

Question 2

Lidocaine Toxicity Symptoms
5-10

Answer 2

• Lightheaded
• Tinnitus
• Tongue/circumoral numbness

Question 3

Lidocaine Toxicity Symptoms
10-15

Answer 3

• Serizures
• Unconscious

Question 4

Lidocaine Toxicity Symptoms
15- 20

Answer 4

• Coma
• Respiratory Arrest

Question 5

Lidocaine Toxicity Symptoms
>20

Answer 5

Cardiovascular Arrest

Question 6

LAST Toxicity: Unresponsive to standard therapy. What medication do you give?

Answer 6

Intralipids 20%

Question 7

Intralipid BOLUS dose for LAST

Answer 7

1.5 mL/kg over 1 minute

Question 8

Intralipid INFUSION dose for LAST

Answer 8

0.25 mL/kg/min

Question 9

How often should you repeat the dose of Intralipid BOLUS for LAST?

Answer 9

q 3- 5 minutes

Question 10

MAX BOLUS dose of Intralipid for LAST

Answer 10

3 ml/kg

Question 11

LAST: When should you increase the Intralipid 20% infusion? By how much?

Answer 11

• 0.5mL/kg/min
• When BP declines….increase infusion until hemodynamically stable

Question 12

MAX TOTAL dose of Intralipid 20%

Answer 12

8 ml/kg