Pain Control Flashcards

1
Q

T/F: If moderate conscious sedation is employed, then dosage of anesthetic adept should be well below the MRD so that potentiation of cardioresipratory depressant effects do not put the patient at risk

A

True

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2
Q

What are two causes of local anesthetic overdose?

A

Intravascular injection, excess dosage delivered to the patient

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3
Q

What are the effects of local anesthetic overdose? CNS _______, seizures, disorientation, LOC

A

CNS depression, seizures, disorientation, loss of consciousness

Decreased myocardial contractility, decreased cardiac output, cardiovascular collapse

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4
Q

Allergy to one amide does not rule out the use of another amide. However, allergy to one ester rules of the use of another ester. List three types of esters:

A

1) Procaine
2) Benzocaine
3) Tetracaine

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5
Q

List 4 amide type local anesthetics:

A

1) Lidocaine
2) Mepivocaine
3) Prilocaine
4) Articaine

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6
Q

T/F: Allergy to one amide does not rule out the use of another amid. However, allergy to one ester rules out the use of another ester

A

True/ LA w/ 1:50,000 Epi is not recommended to control pain in children

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7
Q

1 location for paresthesia

A

Common with articaine and prilocaine

Site: Tongue then lips
Most cases resolve in 8 weeks

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8
Q

Name for reversal agent for LA

A

Phentolamine mesylate (OraVerse)
Over age 6 years, >15 kg
decrease the duration of LA (47% in maxilla and 67% in mandible)

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9
Q

Acetaminophen: dosage

A

10-15 mg/kg q4hr. Antipyretic. Mild pain relief

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10
Q

T/F: Aspirin is recommended for children

A

False

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11
Q

Ibuprofen dosage?

A

2-8 mg/kg q6-8h, anti-inflammatory, good relief for moderate to severe pain, antipyretic

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