Initially, 1 to mg/kg IV. If ventricular fibrillation or pulseless ventricular tachycardia persist, additional to mg/kg IV doses can be given every 5 to 10 minutes up to a total loading dose of 3 mg/kg. The same dose may be given via the intraosseous route when IV access is not available. There is inadequate evidence to support the routine use of lidocaine after cardiac arrest; however, the initiation or continuation of lidocaine may be considered after return of spontaneous circulation (ROSC) from cardiac arrest due to ventricular fibrillation or pulseless ventricular tachycardia. If a maintenance lidocaine infusion is warranted for an individual patient, administer 1 to 4 mg/minute (30 to 50 mcg/kg/minute) IV. Use lower infusion rates for patients who are elderly, have heart failure or hepatic disease, or are debilitated. Lidocaine is considered an alternative antiarrhythmic to amiodarone for this indication, particularly when amiodarone is not available. Lidocaine is convenient to administer but is not as effective as amiodarone for improving ROSC or survival to hospital admission among adult patients with VF refractory to a shock and epinephrine. Neither drug has been shown to improve survival to hospital discharge in cardiac arrest patients with VF.
Keratosis Pilaris DO’s
1. Do take measures to prevent excessive skin dryness , especially in colder winter months.
2. Do use mild soaps like Dove soap-less cleanser or Cetaphil cleanser.
3. Do lubricate skin with special lotions containing lactic acid like Amlactin or Lac Hydrin Lotion.
4. Do talk with your physician about using tretinoin (Retin A), alpha hydroxy acid lotions (glycolic acid), urea cream (Urix 40), and salicylic acid ( Salex).
5. Do gently massage the lotions into the affected area twice a day.
6. Do use a mild loofah or Buf Puf to gently scrub the area weekly
Use warm water or a squirt bottle to clean the irritated diaper area at every change, and let your child's bottom air out whenever possible. Before diapering, apply a thick coating of a zinc oxide-based cream to protect the rash from further moisture, which can make the rash even worse. You can also ask your doctor for advice about using a mild, topical steroid cream for more severe cases. If you suspect a yeast infection, see a doctor, who can prescribe an anti-fungal cream like over-the-counter clotrimazole (Lotrimin) or prescription nystatin to apply at every diaper change until the rash disappears. If your child has rashes in the diaper area that don't respond to conventional treatments, see your doctor to make sure the rash isn't related to another condition.