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Anesthesiology - Lidocaine For Postoperative Pain - Pediatric - Supplemental [6012]

Anesthesiology - Lidocaine For Postoperative Pain - Pediatric - Supplemental [6012] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Pain Management


Anesthesiology - Lidocaine For Postoperative Pain - Pediatric - Supplemental
[6012]
Intravenous Lidocaine for Postoperative Pain URL: https://uconnect.wisc.edu/clinical/references/pain-
management/references-
guidelines/resources/name-34149-en.file
PACU
Patient Monitoring [110206]
Assess for Lidocaine Side Effects Every 30
Minutes [NURMON0060]
SEE COMMENTS, Starting today For Until specified,
PACU
If Patient Develops Mild or Moderate Side Effects
[NURMON0060]
SEE COMMENTS, 1. Stop lidocaine infusion
2. Obtain and document side effects, blood pressure
and pain rating
3. Notify Anesthesiologist and obtain an order for a
serum lidocaine level, PACU
Contingency Parameters [110208]
Notify Anesthesiologist [NURCOM0001] Provider to Notify: Other (Comment)
If systolic blood pressure > (mmHg):
If systolic blood pressure < (mmHg):
If diastolic blood pressure > (mmHg):
If diastolic blood pressure < (mmHg):
If temperature > (C):
If temperature < (C):
If heart rate > (bpm):
If heart rate < (bpm):
If respiratory rate >:
If respiratory rate <:
If blood glucose > (mg/dL):
If blood glucose < (mg/dL):
If pain score >:
Pulse Oximetry < (%):
If urine output < (mL):
Other: If patient develops mild or moderate side
effects due to lidocaine infusion or if lidocaine is
stopped because of side effects
PACU
PostOp/Phase II
Vital Signs [110201]
Vital Signs (Blood Pressure, Pulse Rate,
Respiratory Rate) [NURMON0013]
SEE COMMENTS, Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Monitor PRN if side effects develop during lidocaine
infusion (temperature not needed), Post-Op/Phase II
Patient Monitoring [110202]
Assess for Lidocaine Side Effects With Every Set
of Vitals [NURMON0060]
CONTINUOUS, Starting today, Post-Op/Phase II
Page 1 of 2
Printed by STRAKA, KEVIN F [KFS1] at 7/28/2017 12:52:27 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 07/2017CCKM@uwhealth.org

If Patient Develops Mild or Moderate Side Effects
[NURMON0060]
SEE COMMENTS, 1. Stop lidocaine infusion
2. Obtain and document side effects, blood pressure
and pain rating
3. Notify primary team and obtain an order for a serum
lidocaine level, Post-Op/Phase II
Contingency Parameters [110203]
Notify Provider [NURCOM0001] Provider to Notify: Provider
If systolic blood pressure > (mmHg):
If systolic blood pressure < (mmHg):
If diastolic blood pressure > (mmHg):
If diastolic blood pressure < (mmHg):
If temperature > (C):
If temperature < (C):
If heart rate > (bpm):
If heart rate < (bpm):
If respiratory rate >:
If respiratory rate <:
If blood glucose > (mg/dL):
If blood glucose < (mg/dL):
If pain score >:
Pulse Oximetry < (%):
If urine output < (mL):
Other: If patient develops mild or moderate side
effects due to lidocaine infusion or if lidocaine is
stopped because of side effects
Lidocaine [201634]
lidocaine 2000 mg in dextrose 5% 500 mL
infusion [50530]
22 mcg/kg/min, Intravenous, CONTINUOUS For 48
Hours
Begin/continue in PACU. Administer lidocaine as
secondary infusion.
Post-Op/Phase II
Page 2 of 2
Printed by STRAKA, KEVIN F [KFS1] at 7/28/2017 12:52:27 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
07/2017CCKM@uwhealth.org