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Treatment of lidocaine toxicity Stop any injections immediately and assess the patient for symptoms to determine extent of overdose Basic steps include maintaining adequate oxygenation and monitoring vital signs If concerns of cardiac or CNS toxicity, patient should be transported to an emergency center for higher level of care Keep in mind that not all reactions following local anesthetic injection are due to toxicity, the easiest way to distinguish is by vital signs Vasovagal reaction low heart rate and low blood pressure Treatment Trendelenburg positioning and cold compresses Epinephrine reaction high heart rate and high blood pressure Treatment reassurance usually resolves within minutes, phentolamine and propranolol Anaphylactic reaction high heart rate and low blood pressure Treatment epinephrine injection, antihistamines, corticosteroids, oxygen and fluids priligy medicine
