Upgrade to remove ads
NERB DENTAL LOCAL ANESTHESIA
Terms in this set (92)
Where mandibular nerve passes through the skull
Where Nasopalatine Nerve passes through
Maxillary Division of Trigeminal Nerve
Which is NOT associated with Mandibular Nerve branch
PSA inner cares 1st, 2nd, & 3rd Maxillary molars but may not innervate this area:
MB root of the 1st molar
What injection is needed to anesthetize Lingual of Max anterior
Greater Palatine and Nasopalatine
What injection is needed to anesthetize the entire palate on one side
20-25mm or 3/4 length of the needle
How far do you insert needle on an IANB
Sodium in and Potassium out
What happens during Depolarization
What local anesthetic is metabolized by pseudocholinesterase
Type of tissue topical anesthetic are least effective on
No systemic problems
Which is true for topical anesthetic
Ester option (benzocaine)
Highest occurrence of allergic reactions
Because amide anesthetic being metabolized in the liver
The significance of giving an amide anesthetic to a patient with Cirrhosis?
Landmark for an IANB injection
Psychogenic Pain question
No organic base for the pain
Max dose for cardiac patient?
Max dose for a normal patient
What is Trismus
Limited opening of mouth
Management of a hematoma
Cold compress and pressure to bleeding
Management of Trismus
Heat & Jae excercise
Hematoma can occur if needle penetrates into the pterygoid Plexus of veins during an injection
Needle used for infiltration
What is the volume of solution in a single cartridge of LA?
Increase LA duration, hemostasis, reduce change in toxicity
Actions of a Vasopressor
Anesthesia of the Facial Nerve.
What would cause a dry cornea?
How much epi in a 1% solution of 1.8ml (1.7ml)
PH of a solution, injecting too fast, cartridge wiped with alcohol/serlization solution.
Burning upon injections is due to:
How much local anesthetic in a 2% solution of 1.8ml (1.7ml)
How much local anesthetic in a 3% solution of 1.8ml (1.7ml)
#1 answer- bending the needle
#2 answer- patient movement
Needle breakage is Cause by:
Needle touched the nerve
Why would a patient receive an electric shock during delivery of anesthesia?
Ongoing numbness of the anterior 2/3of tongue is caused by which Nerve being anesthetized:
Less pain, less complications
What is the benefit of a slow deposition rate?
D and B to the 2nd mandibular molar
Location for the Long Buccal Injection?
infection causes lower pH
Why does anesthesia fail to work near an abscessed tooth?
Lesser Palatine Nerve
Innervation of the soft palate?
1st sign a f local anesthesia toxicity?
Allergic reaction management for immediate onset ?
Allergic reaction management for delayed?
You administer anesthetic to your patient and within minutes a rash was forming of the neck. She complained of having trouble breathing. What would you do?
Near apex of tooth
Injection site if you wanted to infiltrate on the L of #13:
If you want hemostasis what injection is best?
Choose ester option
Allergic reaction to an anesthetic
Anesthesia of the Facial Nerve
What causes a droopy eyelid?
Where do you dispose of used needles?
MB root #14
Which root is not anesthetized with the PSA injection?
Too fast or lower pH from vasoconstrictor
Burning of injections could be due to:
5-10mm from the free gingival margin
Injection site for Lingual infiltration of maxillary molars:
If you want hemostasis what kind of injection should be used?
Maxillary Nerve passes through by way of:
Benzocaine, not absorbed systemically
Type of Topical Anesthetic?
Transmits impulses faster
Towards the bone
How do you orient in bevel upon insertion?
Increase blood pressure
What part of the syringe indicates it's an aspirating syringe?
Keratinized or Palatal
What tissue is topical anesthetic least effective?
What LA is metabolized by pseudocholiaeterase?
Landmark for IA Injection
What is a possible cause of pain upon removal of needle?
When you let pressure off it aspirates
How does a self aspirating syringe work?
Max does of epi for cardiac patient
Max does of epi for normal patient
Deposited too fast
When giving an injection the patient experiences no pain until Anesthetic is deposited... what happen?
Smaller the # the larger the lumen
Needle gauge and which lumen is smallest?
During Anesthetic what sensation is lost 1st?
Makes solution isotonic
What function sodium chloride provides in LA solutions?
Antioxidant preventing biodegration of LA
Why is Sodium Bisulfate in LA solution?
Cold and compression for 12 hrs
Post op Hematoma management option:
Pt has complications metabolizing the drug
You are seeing a patient for SRP and they have cirrhosis of the liver, what complications could arise from using an amide local anesthetic?
Works on Mucous membrane
What best describes a topical anesthetic?
Where is topical anesthetic the least effective?
You administer 3 1.8ml cartridges of 3% Mepivcaine, how much local anesthetic have you administered?
Some manufacturers have changed how many mL of solution are in a cartridge, how much would you administer if you had given 2 full cartridges?
A patient immediately starts gasping for air and the BP drops below 90/60mmHg. What should you do?
MOST likely use long needle?
In dental practice an injection for local anesthetic is given how?
You patient has an overdose reaction to local anesthesia, will
have what symptoms
Scaling Lingual #13 for SRP- where is the injection site?
3x 51mg= 153mg
Pt given 3 cartridges of 3% mepivicaine 1.7ml how much did Patient receive?
Pt given 2 cartridges 1.7mL 2% 1:100,000 w/ epi, how much patient receive?
Pt given 3 1.8mL cartridges of 1:200,000 w/ epi, how much patient receive?
How many mm does topical anesthetic penetrate the mucosa?
If a patient receives 3 1.7ml cartridge of 3% Mepivicaine, How much anesthetic did the patient receive?
If a pt has COPD any what Anesthetic would you NOT give?
What Local Anesthetic should a person with a Sulfa allergy NOT have?
What injection has to do with the pteryomandibular raphe
Calculate the Max Dose 4% 1.8ml prilocaine for 120lb female:
Max safe dose
280mg/36= 7.8 cartridges for max does
30yr old female weighs 140lb, she is gave 1.8ml 2% lidocaine with 1:100,000 epi. What is the MRD? How many carpules?
Nothing with epi
Red Wine allergy what type of anesthetic would you NOT administer?
Pt comes to you saying they have allergy to epi most likely cause is:
THIS SET IS OFTEN IN FOLDERS WITH...
NERB Local Anesthesia
NERB Local Anesthesia
dental hygiene prometric
Local Anesthesia - dental hygiene
YOU MIGHT ALSO LIKE...
Local Anesthesia Board Review Questions
Local Anesthesia Practice Exam
Anesthesia Board Review
Local Anesthesia CDCA questions
OTHER SETS BY THIS CREATOR
NERB Study Guide
Local Anesthesia Quiz #1
Hygiene- Local Anesthesia Vascular System
Hygiene- Local Anesthesia Skeletal System