Can 2% lidocaine be given IM?

[newnursealice]

Today when looking for 1% lidocaine to mix with Rocephin, I came across 2% lidocaine. Is it something you give IM? Can it be used to integrate with rocephin? I don't quite know what it is used for.

[bjaeram]

We mix 1% all the time with Rocephin. Isn't 2% what they use to numb for sutures?

[CRNA1982]

panurse123 said:

I have heard of Lidocaine mixed with Rocephin when given IM because it is painful. I think the difference between the 1% or 2% is just that, 1mg/ml or 2/ml. I think IV doses treat arrhythmia.

1% Lido is 10mg/ml and 2% 20 mg/ml.

[bethann27]

I give it w/ Rocephin, and we have standing orders to order both simultaneously. It does hurt ALOT!

[Noimanurse]

It would be best if you stayed with 1% lidocaine with the Rocephin IM due to the amount of lidocaine in ML that you need to get the Rocephin to dissolve. There probably wouldn't be enough liquid with the 2% lidocaine. At least on our bottles of Rocephin, in fine print, there are directions on how much lidocaine to mix for IM injection.

[ukstudent]

2% lidocaine that can be drawn up is used to numb the respiratory tract during broncs at my hospital

1% lidocaine that can be drawn up is used for painful IM injections and topical numbing, such as for placing central lines.

Lidocaine used during codes is in ampules and is packaged very differently.

[emt123277]

Not everyone in the ED gets an IV, especially in minor care. We typically mix our IM ABX with Lido. 1% or 2% may be an institutional policy, but we use 1%.

[diane227, LPN, RN]

I would not use lidocaine 2% for an IM injection, and I don't believe it is approved. Rocephen should be mixed with 1% lidocaine without epi for an IM injection.

[OCNRN63, RN]

ckh23 said:

The patient will be the first to tell you how much it burns. That burning sensation doesn't dissipate right away.

Right. Which was why we mixed it with Lido.

[Archana Shrestha, BSN, RN]

The difference between 1% lidocaine and 2% lidocaine is only the dilution and concentration, which means Lidocaine 1 % represents a 1:100 dilution. That means 10 mg: 1 ml. 2ml of the solution will contain 2 (10mg) = 20 mg of lidocaine. The same goes for 2% lidocaine.

Yes, it can be given the Intramuscular route and Subcutaneous route. Except for Dysrhythmia, It is given an Intravenous way.

Uses of lidocaine are:

1. Local anesthesia

2. Antidysrhythmic effect

The hospital where I work supplies only 2% lidocaine, and we have three types.

1. 2% Lidocaine with epinephrine and preservatives: It is used for anesthetic purposes, and since it has epinephrine which comprises vasoconstriction properties anesthetic effect is more. [mainly used in Nerve Block procedure]

2.  2% Lidocaine with preservatives: It is used for anesthetic purposes only

3. 2% Lidocaine (with no preservatives): It is used in case of Cardiac Dysrhythmia.

 

[klone, MSN, RN]

This is a 13-year-old thread ?