study guide Flashcards by Raisin Saini

antibiotic prophylactic:
Amox, ceph
Clinda
Azithro

2g, 2g
600 mg
500 mg

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Anxiety control meds
valium - diazepam
ativan - lorazepam
halcoin - triazolam

5 mg
1mgx2
0.25 mg

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Clinical bleeding if platelets # is below

50,000

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normal bleeding time

1-6 min

it measures platelet function

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normal inr =
Pt on coumadin=
inr is ratio?

1
2-3
pts pt to standardized pt

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what measures liver function/ ability to form clots

PT/INR

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no Sx ___# months post MI?

CABG?

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pt be off the following for #days/hours?
ASA
NSAID
Coumadin
heparin 
Plavix

7-10 days
1 day
2-3 days
4-6 hours
7-10 days

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Blood tests
Normal PT 
PTT
INR
Hematocrit (RBC/total cells)
WBC

12
25
1 or under 3 ok
45-50
4,000-10,000

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impaction classification

1,2,3 – ramus

A,B,C occlusal plane irt 2nd molar

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functioning of what drugs are monitored by:
PT
PTT

Coumadin

Heparin

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Max. daily dose: 
Aspirin
ibuprofen
Amox
APAP

4g
3200mg
4g
4g

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286 forcep
Ash
#23/ cowhorn
150, 151

max. ant.
mand. ant.
mand. molars
uni. Max., mand.

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when to give benzodiazepines?

its antidote?

hyperventilation,

Flumazenil is used to help you wake up after a surgery or medical procedure in which a benzodiazepine was used as a sedative

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Pregnancy - avoid meds:

ASA, corticosteroids, benzos, morphine, N2O2, tetracycline

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Opioids:
Natural
semi-synthetic
synthetic

Morphine, codeine
heroin, oxycodone, hydrocodone
Demerol, Methadone, fentanyl, tramadol

Prescribing antibiotics:
Penicillin
Amoxicillin
Clindamycin

500 mg qid - 7 days
500 mg tid - 7 to 10 days
300 mg qid - 7 to 10 days

MRD/lb: IMPORTANT
for children rule of?
2% lido 
3% mepivacaine/ carbocaine 
4% prilocaine 
0.5% bupivacaine
4% articaine

25lb: 1 cartridge
3. 3mg/lb, 7mg/kg, 500mg
2. 6mg/lb, 6.6mg/kg, 400mg
4. 0mg/lb, 8.8mg/kg , 600 mg
0. 6mg/lb, 90mg
3. 3mg/lb, 7mg/kg, 500mg

Med emergency box drugs
ASA
Benadryl injection & tablets
Morphine
Nitroglycerine tablets
hydrocortisone injection
Midazolam injection
EpiPen

81 mg
50mg, 25 mg
10 mg/ml
0.4 mg
100mg/ml
10mg/ml
0.3 mg

Epi MRD
adult?
CVD adult?

0. 018mg

mg/cart?
2% lido w epi
3% mepivacaine/ carbocaine 
2% mepivacaine w levo
4% prilocaine w epi
0.5% bupivacaine w epi
4% articaine w epi

1% lidocaine: contains 10 mg of lidocaine per 1 mL
36mg- 2%(20 mg x 1.8 mL) 
54mg
36mg
72mg
9mg
72mg

pKa of LA tells what?

onset of LA

lower - quicker

OSA screening

STOP B(>35)A(>50)N(>40 cm)G(male)

CPR-

ABCD, 30:2

Shockable rhythms - AED

Ventricular Tachycardia, Ventricular Fibrillation, Supraventricular Tachycardia

nitrous tanks: color & psi

blue- N2O2- 750 psi | green - O2 - 2100 psi

Pain med prescription Mild moderate pain high pain

Ibuprofen 400mg q4h/ 600mg q6h/800mg q8h OR APAP 500 mg q4h/ 1000mg q8h for 24 hrs then prn ibuprofen and apap ibuprofen and apap and oxycodone 5mg q 4-6 h for 24 hrs then prn

if NSAIDs contraindicated: moderate high

Tramadol 50 - 100 mg q4-6 h, not to exceed max. 400 mg OR (Vicodin) hydrocodone-APAP: 5-325mg q4-6h APAP 500mg q4h and oxycodone 2.5-10mg q4-6h (percocet)

if APAP contraindicated moderate high

Ibuprofen OR Tramadol Ibuprofen and oxycodone OR Tramadol and Ibuprofen

if APAP and ibuprofen contraindicated mild-high

Oxycodone 2.5-10mg q4-6h

``` max # carts (adults): 2% lido w epi 1:100K 2% lido w epi 1:50K 3% mepivacaine/ carbocaine 2% mepivacaine w levo 4% prilocaine w epi 0.5% bupivacaine w epi 4% articaine w epi ```

``` 11 5.5 7.4 11.1 8.3 10 6.9 ```

Formula to calculate ml in lidocaine

maximum allowable dose (mg/kg) x (weight in kg/10) x (1/concentration of local anesthetic) = mL lidocaine

It is important to know what each ratio means: A 1:100,000 epi ratio signifies

It is important to know what each ratio means: A 1:100,000 ratio signifies that there is 1g of epinephrine per 100L = 1,000mg/100,000mL = 1mg/100mL = 0.01mg/mL.

Formula to calculate max # of cartridges (30lb pt, 2% lido)

``` Maximum Dosage (mg/lbs) X weight (lbs) = Maximum Total Dosage (mg) 2.0 X 30 = 60 mgs Maximum Total Dosage (mg) ÷ mg/cartidge = Maximum # cartridges 60 ÷ 54 = 1.1 cartridge ```

Epinephrine Reversal with?

Alpha adrenoceptor blockers, like phenoxybenzamine, inhibit the vasoconstrictor effect but not the vasodilator effect of epinephrine = low BP instead of high BP

Epinephrine in 1:50,000 epi dilution

``` 1/50 mg of epi = 0.02 mg/ml = 0.02*1.8 = 0.036 mg # carts: 0.2/0.036 = 5.5 for adults kids rule of 25 ```

Affect Local anesthetic and Epinephrine

Local anesthetic: CNS stimulation then depression --> convulsions then respiratory arrest Epinephrine: CVS stimulate to increase HR and BP