Lidocaine (Xylocaine) Nursing Considerations

Rina’s NCLEX Study Plan 2026

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Kara Tarr

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Outline

Generic Name

Lidocaine

Trade/Brand Name

Xylocaine

Indication

Surgical procedures required local or regional anesthetic
Treatment of irregular heart rhythms in emergency situations

Action

Blocks influx of sodium ions into surrounding membranes
Prevents conduction of impulses along nerve

Therapeutic Class

Local anesthetic
Regional anesthetic
Antiarrhythmic – Class 1b

Pharmacologic Class

Amide anesthetic

Nursing Considerations

Use caution in patients with hepatic disease
- Effects prolonged
Do not use with
- Severe heart block
- Wolff-Parkinson-White syndrome
- Stokes-Adam syndrome
- Allergy
Signs of overdose
- Nervousness
- Double vision
- Tremors
- Confusion
May interact with beta blockers

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Transcript

Hey guys, let’s talk about lidocaine also known as XCA. This is an injectable medication, as you can see here. And it also comes in other forms like topical jelly creams, and can also be used orally. So for lidocaine, it works in the body as a local anesthetic, a regional anesthetic, and also as an anti arrhythmic, typically in emergency situations. So the pharmacologic class or the chemical effect it has in the body is an AMI anesthetic. So lidocaine by blocking the influx of sodium into surrounding membranes, which prevents the conduction of impulses along a nerve, which hence causes numbness. So we use lidocaine for local or regional anesthesia for surgical procedures and also for irregular heart rhythms. So with lidocaine, we can see some side effects, things like drowsiness, dizziness, vomiting, and sometimes ringing in the ears or tinnitus. The tinnitus typically has to do with too much Lido.

So let’s take a look at a few nursing considerations for lidocaine. The use of lidocaine should be cautioned in patients with hepatic disease. Lidocaine should not be used in patients who have severe heart block who have Wolf Parkinson, white syndrome or Stokes atom syndrome. And of course it should not be use in patients with an allergy signs of toxicity for lidocaine include things like confusion, nervousness, tremors, double vision. And remember, I just mentioned that tinnitus, so lidocaine can interact with beta blockers. So keep that in mind and teach patients to grapefruit juice. And if lidocaine is used orally, they should not eat for at least one hour after to prevent any issues. So guys, as a surgical nurse, we use lidocaine all the time. I mean, multiple times a day, lidocaine can come epinephrine. It also can come without ene. And this is important as a surgical nurse because some of the AR areas of the body can’t handle the epinephrine or could cause issues. But in general, the use of local anesthesia, like lidocaine is super beneficial for surgical patients. And it does last for a while after the procedure. And it’s really helpful to them.

Lidocaine (Xylocaine) Nursing Considerations

You're watching a preview. 300,000+ students are watching the full lesson.

Included In This Lesson

Study Tools For Lidocaine (Xylocaine) Nursing Considerations

300,000+ Students Use These Cheatsheets To Pass NCLEX

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Outline

Generic Name

Trade/Brand Name

Indication

Action

Therapeutic Class

Pharmacologic Class

Nursing Considerations

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Used by 300,000+ nursing students. 99.25% NCLEX pass rate.

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