Pain Control Flashcards
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
True
What are two causes of local anesthetic overdose?
Intravascular injection, excess dosage delivered to the patient
What are the effects of local anesthetic overdose? CNS _______, seizures, disorientation, LOC
CNS depression, seizures, disorientation, loss of consciousness
Decreased myocardial contractility, decreased cardiac output, cardiovascular collapse
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:
1) Procaine
2) Benzocaine
3) Tetracaine
List 4 amide type local anesthetics:
1) Lidocaine
2) Mepivocaine
3) Prilocaine
4) Articaine
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
True/ LA w/ 1:50,000 Epi is not recommended to control pain in children
1 location for paresthesia
Common with articaine and prilocaine
Site: Tongue then lips
Most cases resolve in 8 weeks
Name for reversal agent for LA
Phentolamine mesylate (OraVerse)
Over age 6 years, >15 kg
decrease the duration of LA (47% in maxilla and 67% in mandible)
Acetaminophen: dosage
10-15 mg/kg q4hr. Antipyretic. Mild pain relief
T/F: Aspirin is recommended for children
False
Ibuprofen dosage?
2-8 mg/kg q6-8h, anti-inflammatory, good relief for moderate to severe pain, antipyretic