The nurse is preparing to mix a lidocaine infusion for a patient. Which consideration(s) should the nurse take into account before administration? (Select all that apply.)
a. Lidocaine with preservatives should be used.
b. Dextrose 5% is the solution to mix with lidocaine.
c. Therapeutic blood levels should be 1 to 5 mg/L.
d. The rate of administration is 1 to 4 mg/min.
e. Monitor for changes in neurologic status.
ANS: B, C, D, E
Lidocaine for infusion should be mixed with dextrose 5% solution. Lidocaine administration rate should be 1 to 4 mg/min. Additional nursing considerations include monitoring of therapeutic blood levels (1 to 5 mg/L) and observing for adverse effects to report to the health care provider. Lidocaine for IV use for dysrhythmias is different from lidocaine used as a local anesthetic. For use with dysrhythmias, check the label carefully to be certain it says "lidocaine for dysrhythmias" or "lidocaine without preservatives."
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