Armamentarium
Safety Features
Physical Eval
Psych Eval
Injection Technique
100
Breech-loading, metallic, cartridge-type, aspirating syringe
What is the type of syringe we use in clinic?
100
This feature allows for aspiration
What is the harpoon?
100
To prevent medical emergencies and keep patients comfortable.
What is the purpose of dental anesthesia and treatment modifications?
100
Syncope from fear
What is the most common adverse reaction from dental injections?
100
Check for injuries and wipe with 2x2 gauze
How is the tissue prepared prior to injection?
200
The hub, where it attaches to the plastic
What is weakest part of the needle?
200
This provides valuable information and will hold together the glass in case of breakage
What is the mylar label?
200
Seizures and asthma
What is triggered by stress?
200
Antipsychotics and alpha blockers (phenoxybenzamines, haloperidol, thioridazine)
What drugs may cause hypotension when used with a vasoconstrictor?
200
Makes for easier needle penetration because of less tissue resistance
What is the purpose of pulling the tissue taut?
300
After 3-4 penetrations, or with a new cartridge
How often do you change the needle?
300
Pro Tector and one-handed scoop technique
What are the correct ways to re-cap the needle?
300
Levonordefrin + tricyclic antidepressants Beta blockers + epinephrine Opioids + local anesthetics Cocaine + vasoconstrictors
What has a Drug-Drug significance rating of 1
300
Phenothiazine drugs
What psychotropic drugs can cause hypotension when combined with vasoconstrictors?
300
Telling your patient this may hurt a little bit
What is a nocebo, or an example of a nocebo?
400
Inside of the cap and the site of insertion
What can the needle touch?
400
Where needles and cartridges are disposed.
What is the Sharps container?
400
When oxygen stays bound and is not released in the blood, caused by toxicity of Prilocaine 4% and/or Acetaminophen
What is Methemoglobinemia?
400
Any problems with previous dental work?
What question might indicate a patient's level of fear or discomfort in the dental chair?
400
Do not deposit and anesthetic, change the cartridge and needle and begin again
What is done when there is a positive aspiration?
500
Firmly with the thumb ring
How do you engage the harpoon into the cartridge?
500
To stop deposition directly into the circulatory system
What is the purpose of aspiration?
500
By not exceeding the lower of the 2 MRDs
How do you avoid a summation interaction?
500
Nitrous oxide-oxygen
What can be used to calm a patient who is nervous about their dental appointment?
500
1 minute per mL
What is rate of deposition?
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