Lidocaine IV (Antiarrhythmic) dosing
Antiarrhythmics · 20 mg/mL · IV Push / Infusion
Calculated, not generatedWeight-based dose
| Dose | Per kg | For 70 kg |
|---|---|---|
| low | 1 mg/kg | 70 mg |
| standard | 1.5 mg/kg | 105 mg |
| high | 1.5 mg/kg | 105 mg |
Bolus over 2-3 min. May repeat 0.5-0.75 mg/kg q5-10 min, max 3 mg/kg. Infusion 1-4 mg/min. Also used for periop analgesia (1.5 mg/kg bolus, 1-2 mg/kg/hr infusion).
Renal & hepatic adjustment
- Severe (Child-Pugh C)Hepatic clearance reduced in liver disease — reduce infusion rate; risk of systemic toxicity.
Source: ASRA LAST guidance
Evidence A · ACLS VT/VF treatment; periop analgesia meta-analyses
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Vigil computes Lidocaine IV (Antiarrhythmic) for your patient's actual weight — and adjusts for renal or hepatic impairment automatically, with the cited rationale. The number is calculated from a verified database, never guessed.
Decision support for licensed clinicians — not a substitute for clinical judgment. Always verify against the package insert and the patient in front of you.