study guide

Question 1

antibiotic prophylactic:
Amox, ceph
Clinda
Azithro

Answer 1

2g, 2g
600 mg
500 mg

Question 2

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

Answer 2

5 mg
1mgx2
0.25 mg

Question 3

Clinical bleeding if platelets # is below

Answer 3

50,000

Question 4

normal bleeding time

Answer 4

1-6 min

it measures platelet function

Question 5

normal inr =
Pt on coumadin=
inr is ratio?

Answer 5

1
2-3
pts pt to standardized pt

Question 6

what measures liver function/ ability to form clots

Answer 6

PT/INR

Question 7

no Sx ___# months post MI?

CABG?

Answer 7

6

3

Question 8

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

Answer 8

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

Question 9

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

Answer 9

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

Question 10

impaction classification

Answer 10

1,2,3 – ramus

A,B,C occlusal plane irt 2nd molar

Question 11

functioning of what drugs are monitored by:
PT
PTT

Answer 11

Coumadin

Heparin

Question 12

Max. daily dose: 
Aspirin
ibuprofen
Amox
APAP

Answer 12

4g
3200mg
4g
4g

Question 13

286 forcep
Ash
#23/ cowhorn
150, 151

Answer 13

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

Question 14

when to give benzodiazepines?

its antidote?

Answer 14

hyperventilation,

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

Question 15

Pregnancy - avoid meds:

Answer 15

ASA, corticosteroids, benzos, morphine, N2O2, tetracycline

Question 16

Opioids:
Natural
semi-synthetic
synthetic

Answer 16

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

Question 17

Prescribing antibiotics:
Penicillin
Amoxicillin
Clindamycin

Answer 17

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

Question 18

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

Answer 18

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

Question 19

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

Answer 19

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

Question 20

Epi MRD
adult?
CVD adult?

Answer 20

0. 2mg

0. 018mg

Question 21

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

Answer 21

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

Question 22

pKa of LA tells what?

Answer 22

onset of LA

lower - quicker

Question 23

OSA screening

Answer 23

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

Question 24

CPR-

Answer 24

ABCD, 30:2

Question 25

Shockable rhythms - AED

Answer 25

Ventricular Tachycardia, Ventricular Fibrillation, Supraventricular Tachycardia

Question 26

nitrous tanks: color & psi

Answer 26

blue- N2O2- 750 psi

green - O2 - 2100 psi

Question 27

Pain med prescription
Mild

moderate pain

high pain

Answer 27

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

Question 28

if NSAIDs contraindicated:
moderate

high

Answer 28

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)

Question 29

if APAP contraindicated
moderate

high

Answer 29

Ibuprofen OR Tramadol

Ibuprofen and oxycodone OR Tramadol and Ibuprofen

Question 30

if APAP and ibuprofen contraindicated

mild-high

Answer 30

Oxycodone 2.5-10mg q4-6h

Question 31

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

Answer 31

11
5.5
7.4
11.1
8.3
10
6.9

Question 32

Formula to calculate ml in lidocaine

Answer 32

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

Question 33

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

Answer 33

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.

Question 34

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

Answer 34

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

Question 35

Epinephrine Reversal with?

Answer 35

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

Question 36

Epinephrine in 1:50,000 epi dilution

Answer 36

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

Question 37

Affect Local anesthetic and Epinephrine

Answer 37

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