Implementation

Topical: When used for minor dermal procedures (venipuncture, IV cannulation, arterial puncture, lumbar puncture), apply the 2.5-g tube of cream (½ of the 5-g tube) to each 2 in. by 2 in. area of skin in a thick layer at the site of the impending procedure. Remove the center cutout piece from an occlusive dressing (supplied with the 5-g tube) and peel the paper liner from the paper-framed dressing. Cover the lidocaine/prilocaine cream so that there is a thick layer of cream underneath the occlusive dressing. Do not spread out or rub in the cream. Smooth the dressing edges carefully and ensure it is secure to avoid leakage. Remove the paper frame and mark the time of application on the occlusive dressing. Lidocaine/prilocaine cream must be applied at least 1 hr before the start of a minor dermal procedure (venipuncture, IV cannulation). Anesthesia may be more profound with 90 min–2 hr application. Remove the occlusive dressing and wipe off the lidocaine/prilocaine cream. Clean the entire area with antiseptic solution and prepare the patient for the procedure

» For major dermal procedures (skin graft harvesting), follow the same procedure using larger amounts of lidocaine/prilocaine cream and the appropriate-size occlusive dressing. Lidocaine/prilocaine cream must be applied at least 2 hr before major dermal procedures

lidocaine/prilocaine is a sample topic found in Davis's Drug Guide. All other sections of this record are viewable by clicking on the index in the left column, or by clicking on "Display all Sections" in the "Content Manager".

To find other Davis's Drug Guide topics, please login or purchase a subscription.