Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
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  Outline SAMS

• S-Slurred Speech
• A-Altered Central Nervous System
• M-Muscle Twitching
• S-Seizures

Description Lidocaine is an anesthetic that prevents painful impulses from reaching the brain. These are signs that the patient may have had too much lidocaine (like buying in bulk)