WREB Anesthesia Study Guide
Help!
|
|
||||
|---|---|---|---|---|---|
| Allergic reaction management; immediate vs delayed | epi if immediate, benadryl if delayed
🗑
|
||||
| Amides are metabolized by what? | liver (prilocaine is in the lungs)
🗑
|
||||
| Amides are excreted by what? | kidneys
🗑
|
||||
| Asthma patients are sensitive to what additive? | sulfites (no epi)
🗑
|
||||
| Avoid esters and articaine if.... | pt.'s have atypical pseudocholinesterase, sulfur allergy, and myasthinia gravis
🗑
|
||||
| Brand name for lidocaine | xylocaine
🗑
|
||||
| brand name for mepivicaine | polocaine
🗑
|
||||
| brand name for mepivicaine plain | carbocaine
🗑
|
||||
| brand name for articaine | septocaine
🗑
|
||||
| brand name for bupivicaine | marcaine
🗑
|
||||
| brand name for prilocaine | citanest
🗑
|
||||
| difference between block and infiltration | block anesthetic is deposited close to main nerve trunk and covers a larger area,filtration is deposited near large terminal nerve endings
🗑
|
||||
| Dose of AMSA | .9-1.8 ml
🗑
|
||||
| Dose of ASA | .9-1.2ml
🗑
|
||||
| Dose of GP | .4-.6ml
🗑
|
||||
| Dose of IA | 1.5-1.8ml
🗑
|
||||
| Dose of infiltrations | .6 ml
🗑
|
||||
| Dose of LB | .2-.3ml
🗑
|
||||
| Dose of MI | .6ml
🗑
|
||||
| Dose of MSA | .9-1.2ml
🗑
|
||||
| Dose of NP | .4ml
🗑
|
||||
| Dose of PSA | .9-1.8ml
🗑
|
||||
| Esters and articaine are metabolized by what? | pseudocholinesterase in blood plasma
🗑
|
||||
| Esters and articaine are excreted by what? | kidneys
🗑
|
||||
| First sign of local anesthesia toxicity | CNS excitment
🗑
|
||||
| How far do you insert the needle into the IANB? | 20-25 mm
🗑
|
||||
| How much epi is in lidocaine 1:50,000 | .036mg
🗑
|
||||
| How much epi is in lidocaine 1:100,000 | .018mg
🗑
|
||||
| How much epi is in 1:200,000 | .009 mg
🗑
|
||||
| How much LA in one carp of 2% lido? | 36 mg
🗑
|
||||
| How much LA in one carp of 4% articaine | 72 mg
🗑
|
||||
| How much LA in one carp of 3% mepivicaine | 54mg
🗑
|
||||
| How much LA in one carp of .5% bupivicaine | 9mg
🗑
|
||||
| How much of the nerve must be bathed in LA to achieve anesthesia | 8-10mm
🗑
|
||||
| How would you best achieve hemostasis | 1:50,000
🗑
|
||||
| If a patient is allergic to red wine, what LA would you give them? | anything plain, no vaso
🗑
|
||||
| If there is methemoblobinemia | avoid prilocaine and benzocaine
🗑
|
||||
| If they are taking beta blockers | limit or avoid vaso's
🗑
|
||||
| If they are taking phenothizides | do not use 1:50,000
🗑
|
||||
| if they are taking tricyclic antidepressants | no levo
🗑
|
||||
| injection and landmarks for buccal tissue of mandibular molars | LB mucous membrane distal and lateral to most posterior molar
🗑
|
||||
| Injection and landmarks for maxillary incisors | ASA, height of the mucobuccal fold about the 1st premolar
🗑
|
||||
| LA overdose leads to | CNS excitation, CNS depression, Coma, convulsions, respiratory arrest
🗑
|
||||
| Management of a hematoma | cold compression and pressure to bleeding site for 3-5 min
🗑
|
||||
| Management of tismus | heat and jaw excersice
🗑
|
||||
| maxillary division of trigeminal nerve is | sensory only
🗑
|
||||
| The metabolic by-product responsible for allergic reactions to the ester classification of anesthetic is | PABA
🗑
|
||||
| Molar root does not anesthetized by the PSA | mesiobuccal root of first premolar
🗑
|
||||
| Most common LA without a Vaso | 3% mepivicaine
🗑
|
||||
| Nerve fiber that is lightly mylinated and causes sharp pain | A
🗑
|
||||
| Nerve fiber without myelin that causes dull achy pain | C
🗑
|
||||
| Nerve impulses are spread by | saltatory conductions
🗑
|
||||
| Nerve that innervates the soft palate | lesser palatine
🗑
|
||||
| on which oral tissue is topical anesthetic least effective | keratinized
🗑
|
||||
| a patient complains of a lesion on the lower lip a day after LA administration, what is it most likely | self mutulation
🗑
|
||||
| purpose of the myelin sheath | protective covering for the nerves
🗑
|
||||
| smaller needle gauge equals | larger
🗑
|
||||
| Tachyphylaxis | the rapid decreased in the response to a drug after repeated doses over a short period of time
🗑
|
||||
| volume in one carpule of LA | 1.8 ml
🗑
|
||||
| what are the most likely causes of an overdose from a local anesthetic | solution was administered too rapidly or solutions was inadvertently injected intravasculary
🗑
|
||||
| what causes psychogenic pain | mental or emotional problems that affect the experience of pain
🗑
|
||||
| what distributes the incoming signals to the CNS | axon
🗑
|
||||
| what to beta blockers do? | decrease BP
🗑
|
||||
| what does a yellow brown tint in the carpule indicate | oxidation
🗑
|
||||
| what does LA do to depolarization | inhibit the Na influx by displacing the Ca ions
🗑
|
||||
| what does the alpha adrenergic receptors do? | smooth muscle contraction in arterioles and veins
🗑
|
||||
| what does the beta adrenergic receptors do? | cardiac stimulation then smooth muscle relaxation
🗑
|
||||
| what exits the foramen ovale | mandibular nerve
🗑
|
||||
| what exits the foramen rotundum | maxillary nerve
🗑
|
||||
| what exits the incisive foramen | nasopalatine nerve
🗑
|
||||
| what exits the mandibular foramen | inferior alveolar nerve
🗑
|
||||
| what happens during depolarization | slow Na ion influx until firing threshold is reached
🗑
|
||||
| What happens during rapid depolarization | once firing threshold has been reached there is a rapid influx of sodium ions
🗑
|
||||
| what happens during repolarization | Na begins to move with concentration gradient out of the cell, there is an absolute refractory period. Na continues to move out of cell with help of sodium pump, there is a relative refractory period until resting state is reached
🗑
|
||||
| What initiates nerve conduction | dendrites
🗑
|
||||
| what is responsible for the duration of action to LA | protein binding
🗑
|
||||
| What is the function of sodium bisulfite to LA solutions | antioxidant that prevents biodegradiation
🗑
|
||||
| What is the function of sodium chloride in LA | isotonicity
🗑
|
||||
| What is the cardiac dose of epi | 0.04
🗑
|
||||
| what is the site of action for a LA | nerve membrane
🗑
|
||||
| What sensation is lost first | pain
🗑
|
||||
| Which anesthetic affects the CVS first | bupivicaine
🗑
|
||||
| what anesthetics affect the CNS | all besides bupivicaine
🗑
|
||||
| which anesthetics are category B | lido, prilo others are C
🗑
|
||||
| Which anesthetics have a weak vasodilation | mepivicaine and prilocaine
🗑
|
||||
| which is true of topical anesthetics | no systemic issues
🗑
|
||||
| why do you use vaso | increases duration and depth of LA
🗑
|
||||
| why would there be mild burning during administration of anesthetics | ph of solution, too warm, contamination
🗑
|
||||
| Why does infiltration work better on the maxilla as opposed to the mandible | mandible has denser bone.
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
daisenmurray
Popular Dentistry sets