Paramedic National Registry Practice

What is the correct pediatric dose for Lidocaine?

1. 0.5 mg/kg

2. 1 mg/kg

3. 2 mg/kg

4. 0.1 mg/kg

The correct answer is: 1 mg/kg

The correct pediatric dose for Lidocaine is 1 mg/kg. This dosing reflects the appropriate consideration of a child's weight and physiological differences when administering medications, especially in emergency situations. Lidocaine is commonly utilized as an antiarrhythmic agent, particularly in cases of significant ventricular arrhythmias. The reason for using 1 mg/kg is based on extensive clinical experience and research, which indicates that this dosage offers effective therapeutic effects while minimizing the risk of toxicity. Pediatric patients metabolize drugs differently than adults, making it crucial to calculate dosages based on weight to ensure safety and effectiveness. In addition, a dosage of 1 mg/kg aligns with guidelines for various scenarios, such as in the management of cardiac arrest or during procedures requiring local anesthesia. Understanding and adhering to the correct dosing for pediatric patients is essential for providing safe and effective care.