CTP

Question 1

max dose lidocaine

Answer 1

4.4mg/kg w/o epi (1 carp/18lbs for kids)

7mg/kg w/epi

Question 2

max dose articaine

Answer 2

7mg/kg (1 carp/22lbs for kids)

Question 3

max dose bupivacaine

Answer 3

1.3mg/kg (for kids)

3mg/kg (for adults)

Question 4

max dose prilocaine

Answer 4

6mg/kg (for kids)

8mg/kg (for adults)

Question 5

what local anesthetic should NOT be used in children under age 4?

Answer 5

articaine/septocaine

Question 6

according to the AHA, in what cases are antibiotic prophylaxis indicated?

Answer 6

• prosthetic valves
• previous infective endocarditis
• unrepaired cyanotic congenital heart disease, or repaired w/residual shunts or valvular regurgitation
• cardiac transplant w/valve regurgitation

Question 7

if antibiotic prophylaxis is indicated, what is the rx for amoxicillin?

Answer 7

amoxicillin 2g[2000mg] (500mg/pill) for adults (take PO 1hr before appt)
amoxicillin 50mg/kg for children (take PO 1 hr before appt)
can prescribe augmentin (amoxicillin/clavulonate) to decrease GI adverse rxn

Question 8

if antibiotic prophylaxis is indicated, what is the rx for clindamycin?

Answer 8

given if allergic to penicillin
clindamycin 600mg (300 mg/pill) for adults (take PO 1hr before appt)
clindamycin 20mg/kg for children (take PO 1 hr before appt)

Question 9

if antibiotic prophylaxis is indicated, what is the rx for azithromycin?

Answer 9

azithromycin 1000mg (500mg/pill) for adults (take PO 1hr before appt)
azithromycin 15mg/kg for children (take PO 1hr before appt)

Question 10

in cases of odontogenic infections, what is the rx for amoxicillin?

Answer 10

amoxicillin 500mg every 8 hours
21 tabs
sig: take 1 tab TID for 7 days
can prescribe augmentin (amoxicillin/clavulonate) to decrease GI adverse rxn

Question 11

in cases of odontogenic infections, what is the rx for clindamycin?

Answer 11

given if allergic to penicillin
clindamycin 300mg every 8 hours
21 tabs
sig: take 1 tab TID for 7 days

Question 12

in cases of odontogenic infections, what is the rx for azithromycin?

Answer 12

z-pack
azithromycin 250mg
6 tabs
sig: take 500mg day one, 250mg days 2-5

Question 13

max dose of ibuprofen

Answer 13

3200mg/day

Question 14

max dose of tylenol/acetamenophin

Answer 14

4000mg/day

Question 15

where is ibuprofen metabolized?

Answer 15

liver

Question 16

where is tylenol/acetaminophin metabolized?

Answer 16

liver

Question 17

ibuprofen rx

Answer 17

ibuprofen 800mg
10 tabs
sig: take 1 tab q8h PRN pain
do not exceed 3200mg in 24 hours

Question 18

tylenol/acetaminophen rx adults

Answer 18

tylenol 325mg
12 tabs
sig: take 1-2 tabs q4-6h PRN pain
do not exceed 4000mg in 24 hours

Question 19

tylenol/acetaminophen rx children

Answer 19

10mg/kg
160mg/5mg liquid
disp. 160ml
sig: take 5ml q4-6h PRN pain
do not exceed 75mg/kg in 24 hours

Question 20

in cases of odontogenic infections, what is the rx for amoxicillin for children?

Answer 20

15mg/kg/dose
150mg/ml suspension
disp. 150ml
sig: take 5ml q8h for 10 days

Question 21

norco rx adults

Answer 21

5mg hydrocodone/ 325mg acetaminophen
12 tabs
sig: take 1 tab PO q6h PRN pain

Question 22

what antibiotic should not be used in patients with pre-existing cardiac conduction defects and why?

Answer 22

azithromycin because it can cause cardiac arrhythmias