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Franklin Hardy,a 46-Year-Old Man with Multiple Moles and Skin Lesions,was

Question 13

Multiple Choice

Franklin Hardy,a 46-year-old man with multiple moles and skin lesions,was undergoing skin lesion excision surgery performed using a local anesthetic.After 90 minutes of surgery and multiple field block injections of 1% lidocaine with epinephrine 1:100,000 and 0.5% bupivacaine,Franklin told the perioperative nurse that he felt dizzy with ringing sensations in both ears,a metallic taste in his mouth,and numbness of the tongue and lips.He became confused and restless and showed an increased heart rate and blood pressure.The perioperative nurse recognized his signs and symptoms of _ and began immediate treatment with ___.


A) bupivicaine and lidocaine toxicity;airway support
B) local/subcutaneous infiltration;aspiration of gastric contents
C) lidocaine overdose;lipid emulsion infusion
D) a potential life-threatening complication;anticonvulsants and ACLS

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