Thursday lacerations

Question 1

Topical anesthetics neumonics
TAC
LET
EMLA

Answer 1

TAC - Tetracaine, epinephrine (adrenaline), cocaine (traditional, not used very much anymore)
LET - Lidocaine, epinephrine, tetracaine (safer w/o cocaine)
EMLA - eutectic mixture of local anesthetic - lidocaine and prilocaine (needs 90 min to work)

Question 2

Most likely local anesthetic to cause an allergic reaction? what is a good replacement for it?

Answer 2

Lidocaine (and amide with a paraben preservative), replace with procainamide (as esther).

Question 3

Longer acting anesthetics used often with dental pain

Answer 3

Bupivacaine and mepivacaine

Question 4

Parenteral general anesthesia ajents

Oral general anesthesia ajents

Answer 4

Morphine, hydromorphone, fentanyl

hydrocodone and oxycodone

Question 5

benzos

Answer 5

larazapem, medazolam

Question 6

dissociative general anesthetic

Answer 6

ketamine

Question 7

Debridement

Answer 7

Picking out debris and macerated, traumatized tissue

Question 8

Non absorbable sutures made out of

Answer 8

Polyglycolide, catgut (plain (lasts days), chromic (~1 week) actually from sheep gut)

Question 9

What is it called when a wound ruptures along its suture line

Answer 9

Dehiscence

Question 10

Keloid

Answer 10

A collagenous scar arranged in a whorl patter