Midterm Flashcards
(26 cards)
with deep sutures, you close up?
deadspace
if you inject straight into blood stream, what sxs?
seizure, unconscious, hypotensive crisis, atypical asthma
2 types of procedures for anesthetic?
1) infiltration - directly underneath
- for punch biopsy
2) field block - inverted V
antiseptic used the most?
betaiodine
amides vs esters: use the most?
amides (lidocaine)
esters have a higher chance of allergic rxn
autoclave settings
250 degrees
15 lb pressure
30 min
sense of pain by what kind of nerves?
small non myelinated
- meds can get right there
What do we block when we do a field block?
blocks sodium channels - AP’s
pros and cons of betadine?
don’t use w allergy, babies, gaping wounds
- use on intact skin
- can damage WBC’s and gets absorbed
inversion creates a
scar
- make sure to EVERT
IV EPI
1:10,000
EPI IV in red label
1: 100,000
- MC for us
Epi pen
1:2,000
….
- 15 cc
- IM or SubQ
EPI injection dose
1:1000
what size needle used to inject anesthesia?
25
what size blade is MC
- used for what?
15
what size blade is the sharp one for boil lancing?
11
downsides to vertical mattress? advantages?
strangulating, makes a bigger scar
- adv: strong, evert, dead space
pros and cons of use of epi
don’t use on digits, nose, genitals (anything w single blood supply)
how long does epi blanch?
- 6hrs (long enough to destroy nerves)
tool safe for underminding
hemostat
what is added to lidocaine right before injection? ratio?
sodium bicarb
1:10
buffers - less burn
when to use topicals?
for kids - not to be used on deep abrasion
