Midterm Flashcards

1
Q

with deep sutures, you close up?

A

deadspace

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2
Q

if you inject straight into blood stream, what sxs?

A

seizure, unconscious, hypotensive crisis, atypical asthma

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3
Q

2 types of procedures for anesthetic?

A

1) infiltration - directly underneath
- for punch biopsy
2) field block - inverted V

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4
Q

antiseptic used the most?

A

betaiodine

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5
Q

amides vs esters: use the most?

A

amides (lidocaine)

esters have a higher chance of allergic rxn

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6
Q

autoclave settings

A

250 degrees
15 lb pressure
30 min

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7
Q

sense of pain by what kind of nerves?

A

small non myelinated

- meds can get right there

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8
Q

What do we block when we do a field block?

A

blocks sodium channels - AP’s

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9
Q

pros and cons of betadine?

A

don’t use w allergy, babies, gaping wounds

  • use on intact skin
  • can damage WBC’s and gets absorbed
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10
Q

inversion creates a

A

scar

- make sure to EVERT

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11
Q

IV EPI

A

1:10,000

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12
Q

EPI IV in red label

A

1: 100,000

- MC for us

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13
Q

Epi pen

A

1:2,000

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14
Q

….

A
  1. 15 cc

- IM or SubQ

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15
Q

EPI injection dose

A

1:1000

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16
Q

what size needle used to inject anesthesia?

A

25

17
Q

what size blade is MC

- used for what?

A

15

18
Q

what size blade is the sharp one for boil lancing?

A

11

19
Q

downsides to vertical mattress? advantages?

A

strangulating, makes a bigger scar

- adv: strong, evert, dead space

20
Q

pros and cons of use of epi

A

don’t use on digits, nose, genitals (anything w single blood supply)

21
Q

how long does epi blanch?

A
  • 6hrs (long enough to destroy nerves)
22
Q

tool safe for underminding

A

hemostat

23
Q

what is added to lidocaine right before injection? ratio?

A

sodium bicarb
1:10
buffers - less burn

24
Q

when to use topicals?

A

for kids - not to be used on deep abrasion

25
Q

anesthetics: what is affected and in what order?

A

1) pain
2) temp
3) motor

26
Q

shave biopsy blade size?

A

10