Local Anesthetics & Blocks

Question 1

Esters include

Answer 1

Benzocaine (Anbesol)
Cocaine
Novocaine
Tetracaine

Question 2

Amides include

Answer 2

Lidocaine (Xylocaine)
Mepivacaine (Carbocaine)
Bupivacaine (Marcaine)
Dibucaine (Nupercaine)
Prilocaine (EMLA)

Question 3

Lidocaine max dose (without epi)

Answer 3

4.5 mg/kg

Question 4

Lidocaine max dose with epi

Answer 4

7mg/kg

Question 5

Bupivacaine max dose (without epi)

Answer 5

2mg/kg

Question 6

Bupivacaine max dose with epi

Answer 6

3.5 mg/kg

Question 7

Inject at what location in skin?

Answer 7

Junction of dermis and hypodermis

Question 8

What type of nerves are most susceptible to anesthetics?

Answer 8

Unmyelinated nerves (C type pain fibers)

Question 9

Contraindications of EMLA

Answer 9

<1 y/o

reports of MET hemoglobinemia

Question 10

What type of local anesthetics are contraindicated in severe liver disease?

Answer 10

Amides

Question 11

What type of local anesthetics are contraindicated in severe renal disease?

Answer 11

Esters

Question 12

MC complication of local anesthetic use

Answer 12

anxiety leading to vasovagal syncope

Question 13

No more than _____ abscesses should be drained with local anesthesia

Answer 13

4