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29 Cards in this Set
- Front
- Back
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the use of effective __ is vital for any office procedure in which pain may be inflicted.
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analgesia
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t/f
epinephrine helps to decrease the amount of bleeding during a procedure but does not either shorten or prolong anesthesia. |
false; the use of epi can be prolonged with adding epi as can the use of other long acting local anethestics
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what are some tricks you can use to decrease the amount of pain experienced with anesthetic injections?
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adding bicarb to buffer, warming the solution and injecting slowly
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what are complications of local anesthesia (rare, but we need to know).
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CNS and CV toxicity or extreme vasoconstriction in an end organ if epi is used
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what size needle should you use to draw up local anesthesia?
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large bore, change needles and inject with small needle
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when you inject a pt with lido, should you withdrawal the needle out of the skin while working in a clockwise fashion around the wound to numb?
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no dumb ass; sorry getting tired again. penetrate the skin the least amt of times as you can, advance thru initial puncture to other areas and continue to numb.
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lidocaine, marcain (bupivacaine), carocain, prilocaine, etidocaine, are all examples of ....
-amides -esters |
amides
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procaine (novocaine), chloroprocaine (nesacaine), tetracaine) pontocaine, are all examples of...
-amides -esters |
esters
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what are some CV s/e of local anesthesia?
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inc. BP
arrythmias seizures |
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what are the 5 R's of local anesthesia documentation?
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right dose
right route right time right location right patient |
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what is the most important diagnostic test for skin disorders?
-punch biopsy -shave biopsy -culture and sensitivity |
punch biopsy
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punch biopsy is considered the primary technique to obtain _______.
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diagnostic, full thickness skin specimens
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what type of suture should you use to sew closed your punch biopsy wound?
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4, 5 or 6-0 nylon
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commonly selected sites are the most __ appearing site within a lesion or the edge of an actively growing lesion.
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abnormal
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the skin is cleansed with iodine solutio and anesthetized with 1 or 2% lido
WITH/WITHOUT epi. |
with
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once the punch biopsy instrument has penetrated the dermis into the sub Q fat, or once the instrument reaches the __ it is removed.
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hub
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the dermal electrosurgical shave excision is a fast and inexpensive method of removing __ and __ lesions.
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epidermal and dermal
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a shave biopsy is ideally suited for __ lesions.
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pedunculataed
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what size blade should you use for a shave biopsy?
-10 -11 -15 |
#15 blade
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when performing a shave biopsy, anesthesia is injected intradermally at least _cm from the lesion in all directions.
-.5 -1 -1.5 |
1 cm
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is using electrosurgical cautery on cutting setting, where should the setting be?
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1.5-2
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__ solution can be reapplied to a shave biopsy wound if bleeding persists.
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Monsel's
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after removal, the shave biopsy specimen is immediately placed in __.
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formalin
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what type of documentation should be included in a shave biopsy procedure?
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document consent, procedure, meds given, location.
consider taking a picture any complications plan for follow up |
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all shave biopsy specimens should be sent for __ evaluation.
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histological
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shave excision specimens that reveal the margins to be positive for malignancy should prompt consideration for __ of the site.
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re-excision
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if histology of a specimen reveals squamous cell carcinoma, __ __ re-excision of the site is recommended.
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full thickness re-excision
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occasionally, patients develop an excessive reaction known as a __ scar.
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hypertrophic
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the ideal anesthetic achieves 100 % analgesia in __ period of time, works on intact or nonintact skin without systemic side effects, and invokes neither pain nor toxicity.
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short
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