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NERB Local Anesthesia
Terms in this set (90)
Reason for pain upon removal of needle
smaller number ________ lumen
antioxidant; prevents biodegredation
buffer for pH
Injection to numb lower lip
Where is epi found naturally in body?
Adrenal gland/ Endocrine system
Suggested LA deposit rate
Where mandibular nerve passes through skull
where maxillary nerve passes through skull
where nasopalatine nerve passes
Max division of Trigeminal Nerve - Motor, Sensory, Mixed?
Beta blockers effect on BP
LA is what type of injection
Reason for sudden pain and instant anesthesia upon injection
hit a nerve
Needle for infiltration
Where is buccal injection?
distal/buccal to last molar
Nerve associated with soft palate
Injection choice for homeostasis
Sign of LA overdose/toxicity
Where infiltrate #13 lingual
apex of tooth
Reason for cheek turning white after injection
Blanching; vasoconstriction of BV
Reason for pain when delivering LA
injecting too fast
Reason for burning when delivering LA
What is given for immediate allergic reaction? What is given for delayed allergic reaction?
Most common LA without epi
Contraindication for uncontrolled hyperthyroidism?
PABA sensitivy associated with...
How far should needle be inserted for IANB?
20-25mm or 2/3-3/4 length of needle
Depolarization: Sodium ____ , Potassium ______
Sodium In/Influx, Potassium Out/Efflux
Before deposit of solution
Topical is least effective on ...
Topical works on ...
Max epi cardiac pt.
max epi healthy pt.
Treatment for trismus
heat and exercises
Preferred method for recapping needle
Bad method for recapping needle
no organic base
Reason for facial nerve paralysis
needle enters parotid gland
Dry Cornea associated with which nerve
Most common reason for needle breakage
sudden patient movement
Treatment for hematoma
cold and compress for 12 hours
LA blocks ______ channel
Onset is associated with
Increased pKa = ______ onset
Treatment options for persistent chest pain
Morphine, O2, Nitro, Aspirin
Most common reason for syncope
anxiety and fear
Resting State: Sodium (Na) ______ , Potassium (K) _____
Na Out, K in
Action Potential Na _____, K ______
Na In, K Out
Contraindication for Epi!
Nonselective Beta Blocker
VC _____ duration of action
C-fibers conduct pain impulses quickly or slowly?
IA needle insertion:
"V" medial border of coronoid notch
Buccal needle insertion:
distal to last molar
Mental needle insertion:
btwn 2 PMs mucobuccal fold
anterior 2/3 tongue, lingual and buccal to 2nd PM
all buccal mandibular
anterior to mental foramen (lower lip, chin)
Needle for IA:
25 (do not deposit until bone is touched!)
Needle for Mental:
3 Nerves associated with IA
IA branch of V3, Mental, Lingual
straight up over 1st PM (advance until bone is touched)
45degree 2nd molar (up, back, in)
straight up 2nd PM (height of MB fold)
mucosa 1st molar
mucosa lateral to incisive papilla
central - mb root of 1st molar
hematoma associated with which injection
PMs, MB root of 1st molar
palatal tissue distal to canine
anterior hard palate
Infected tissue has ____ pH
Prilocaine associated with increased risk of...
Mepivacaine/Carbocaine _______ onset
Shortest because closest pKa to body pH
Bupivacaine/Marcaine ________ onset
longest onset and duration; *smallest MAX dose 90mg
MAX dose 4% Articaine
MAX dose 0.5% Bupiv
MAX dose 2% Lido
MAX dose 3% Mepiv
MAX dose 4% Prilo
THIS SET IS OFTEN IN FOLDERS WITH...
DH Local Anesthesia Board Review (Dr. D 2012)
Local Anesthesia Final and NERB
Dental Hygiene Local Anesthesia
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