Patient Assessment
Name a medical condition that requires us to limit the amount of amide local anesthetic that the patient receives.
Kidney Disease or Liver Disease
Injections necessary to achieve complete anesthesia of #9,10, and 11.
Left ASA and NP
Avoid use of Bupivacaine on pediatric and geriatric patients because of the possibility of them experiencing which local complication.
Soft tissue trauma from cheek/lip biting
Name the anesthetic of choice for pregnant patients.
2% Lidocaine
Most commonly used topical anesthetic
20% Benzocaine
Name a medical condition that requires us to limit the amount of epinephrine that a patient receives.
Cardiovascular Disease, Asthma, Uncontrolled Diabetes, Sickle Cell Anemia, etc.
Name the target site for the Gow Gates injection.
Neck of the condyle.
Name the medication that a patient should take from the emergency kit if they have a mild localized rash roughly 1 hour after administration of epi.
Diphenhydramine/Benadryl
Soft tissue anesthesia lasts for how long after administration of a medium-duration anesthetic.
3-5 hours
Name the nerve that innervates the pulps of the mandibular anterior teeth.
Incisive
Name a condition that would be an absolute contraindication to receiving epinephrine.
Sulfite allergy, cocaine or methamphetamine use in the last 24 hours, heart attack/stroke/coronary bypass surgery within the last 6 months, uncontrolled hyperthyroidism, uncontrolled CVD.
Describe what you would do if your initial IA/L/B injection was unsuccessful at getting the patient numb (the patient does not feel any areas of anesthesia).
Administer another mandibular nerve block (either IA/L/B or GG)
Name the medication used to treat a severe allergic reaction such as Anaphylaxis.
Epi-Pen
Name the anesthetic of choice for patients with liver disease.
4% Articaine
Name the nerve that innervates the pulps of the mandibular molars.
Inferior Alveolar (IA)
If a patient has kidney disease and diabetes with an A1c of 8, what do you need to limit:
a. limit the anesthetic/amide
b. limit the epi
c. limit both the amide and epi
C
Name an instance where you would choose to administer an IA/L/B instead of a GG nerve block.
If the patient doesn't want to be profoundly numb, if the patient cannot open wide, pediatric patients.
The day after administration of an IA/L/B, the patient calls complaining of a sore jaw. Name the local complication that occurred.
Trismus
Name the dilution of the vasoconstrictor/epi that is the MOST concentrated form of epi.
1:50,000
How many milligrams of a 4% anesthetic agent are in one 1.7 ml cartridge?
68 mg
If a patient has asthma and kidney disease, it is best to limit:
a. the anesthetic/amide
b. the vasoconstrictor/epi
c. both the amide and epi
C
Name the injections needed to achieve complete anesthesia of Quad 1.
PSA, MSA, ASA, GP, and NP.
Describe what a hematoma is and name the injection that is most likely to lead to a hematoma.
Bruise; PSA
Name the anesthetic of choice for pediatric patients.
2% Lidocaine
Name the topical anesthetic that you should use if your patient has an ester allergy
Lidocaine