Category: Tachydysrhythmia

Lidocaine Max Dose

Question #: 482


My service recently began using Lidocaine instead of Amnio. I was refreshing the medical directives for Lidocaine use and do not see a maximum does under the Medical Arrest Directive. I thought I remember discussing a max does while in ACP school but no can not remember. Can you please clarify this for me. Thanks


The maximum total dose of lidocaine is 5 mg/kg; the maximum IV dose is 3 mg/kg.

It is not included in the ALS PCS, but is described in the OBHG Companion Document v 4.8 to the ALS PCS, in the following sections:

Tachydysrhythmia Medical Directive, p.32
Orotracheal Intubation Medical Directive, p.36
Nasotracheal Intubation Medical Directive, p.44

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