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Flashcards in exam 3 study guide Deck (33):
1

what anesthetizes small area of two teeth, deposited at the apex of the tooth?

Supra-periosteal, recommended when needed in localized area commonly referred to as infiltration

2

what's the best practices for increasing patients comfort for maxillary injections?

needle should not be moved within the tissue nor should the patients upper lip be shaken as previously discussed, topical anesthesia is used and local is deposited slowly, slightly jiggle lip and don't hit bone

3

which order is maxillary injection done?

back to front- PSA, MSA, ASA

4

how should the syringe be held?

keep to occlusal plane and 45 degree to not hit the bone especially in PSA

5

what practices to avoid when administering anesthetic?

not using enough, giving too much, administering a greater area than needed

6

what to do if needle accidentally contacts bone?

withdraw the needle, change needle, and reinsert to to decrease any further trauma

7

what is the supraperiosteal injection most common in?

primary molars than permanent due to decrease in bone

8

which of the following is the best practice for MSA?

long axis to the tooth, bevel to bone, needle placed above apex

9

when administering PSA, what other nerve could be numbed?

mandibular

10

what anesthesizes a larger area?

nerve block

11

when giving MSA, where is it in the dental arch?

half way around the mouth

12

when doing SRP on mandibular molars, what block would be done?

buccal

13

what is the most commonly used injection?

IA

14

after giving IA, which injection would numb the incisors?

incisive block

15

what is the hardest injection?

IA

16

what injection is most likely to cause lingual shock due to needle close to lingual nerve?

IA

17

why would a patient not get numb enough?

because it was deposited inferior to the apex and in children, dense bone covers where apex should be

18

what reduces discomfort on palatal injections?

pressure

19

where is anatomy most varied?

mandibular

20

when administering IA, what other nerve could be numbed?

facial

21

where is the pterygomandibular fold?

extends behind most distal molar and retromolar pad, runs horizontally to the posterior border of the mandible and then turns superior to the junction of hard and soft palate, separating the buccal mucosa from pharynx

22

this anesthetizes the mental nerve and thus the association facial periodontium, and gingiva of the mandibular anterior teeth and premolars to the midline

mental block

23

this anesthetizes incisive nerve and thus mandibular anterior teeth and premolars as well as association with facial periodontium and gingiva to the midline

incisive block

24

where does PDL injection enter?

alveolar bone

25

most common reaction to anesthesia?

systemic toxicity

26

what is not recommened for children?

bupivacaine

27

what is located more inferior in children than adults?

mandibular foramen

28

when do most adverse reaction to drugs occur?

within five to ten minutes of injection

29

what does LAST manifest as?

excitation followed depression of the CNS system and to lesser exten of CVS

30

LAST

local anesthetic systemic toxicity

31

this is factored into MRD?

TOPICAL

32

what should be avoided with children?

trigger words like shot, needle, hurt, pain or bee sting

33

behavior strategies for children

show, tell, do communication by showing the child what you will be doing and explaining the process in a tone that is reasoning yet assistive and reassuring and is often effective..

dental assistant with you. correct terminology for age group

praise good behavior and reward if poss.