Flashcards in exam 2 Deck (49)
Which 2 local anesthetics have least vasodilator?
mepivicane and prilocaine
what is the longest lasting local anesthetic?
what does maximum recommended doseage depend on?
what local anesthetic has the shortest half life?
trade names for articaine?
trade names for bupivicaine?
trade names for lidocaine?
trade names for mepivicane?
trade names for prilocaine?
when is local anesthetic with no vasoconstrictor contraindicated?
on a patient who has had open heart surgery within the past 6 months
absolute contraindication of local anesthetic with vasoconstrictor ?
when a peeing is sulfite allergy what should be avoided?
when a patient is allergic to wine, dry fruit, or chips... what should be avoided?
what is added to solution to prevent oxidation?
what is added to solution to prevent bacterial growth?
generic name for prilocaine
trade names for bupivicaine
marcaine and vivicaine
allergic reactions for local anesthetics are people with?
sulfite allergies- 1 percent is a true allergy
this means to use anesthetic with care or watch
main advantage of topical anesthetic
what should be done before administration of LA?
review health history
other absolute contraindications if LA with vasoconstrictor
by pass surgery
open heart surgery within 6 months
what can be tried to reduce BP?
what does prilocaine effect?
what is used for congestive heart failure because of arrhythmias with epinephrine?
why would vasoconstrictor be an absolute contraindication to someone with hyperthyroidism?
standard LA cartridge contains how much anesthetic?
except articaine (1.7 mL)
what is the main factor of a problem using LA if it is not working
check for vasoconstrictor
when should you use little anesthetic as possible?
kids, elderly or people with any health problems
if a pt has been given 2 cartridges of LA and it isn’t working what should be done?
readminister and adjust technique
how is MRD tested?
on animals and humans and then approved by FDA
what considerations are important when selecting LA?
duration of pain control
need for post op pain control
pt health and current medications
need for hemostasis
these provide pulpal anesthia for approx 30 minutes and no not contain vasoconstrictor
short acting LA
these types of LA provide pulpal anesthesia for approx 60 minutes and contain vasoconstrictor except 4% prilocaine when admin as nerve block
2% lidocaine, 1:50,000 epi
2% lidocaine, 1:100,000 epi
2% mepivicane, 1:20,000 levonordefrin
4% prilocaine 1:200,000 epi
4% articaine 1:100,000 or 1:200,000 epi
long lasting LA provides pulpal anesthesia for how long
bupivicaine 0.5%, 1:200,000 epi
means the administration of offending drug may be used judiciously
means the offending drug should not be administered to the individual under any circumstance
what may cause allergic reactions of a LA?
containing sodium bisulfite or meta bisulfite
other than LA, where are sulfates used?
prevent wine from fermentation and oxidation
preservative in dried fruit or potato products
what may influence the type and volume of anesthetic or vasoconstrictor a patient may safely receive?
non selective beta blockers
what provides better bleeding control?
most commonly used La in dentistry
what is a good alternative if a vasoconstrictor is contraindicated??
what variety are topical anesthetics available in?
what can help identify an anxious patient?
observing the patients posture, body movements, speech patterns and skin
clinical signs of moderate anxiety
unnaturally stuff posture
white knuckle syndrome
perspiration on forehead and hands
overwillingness to cooperate with clinician
another name for thyrotoxicosis
inherited syndrome triggered by exposure to certain drugs for general anesthesia and the neuromuscular blocking agent succinylcholine