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40 Cards in this Set
- Front
- Back
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Name the 4 ADA Criteria for the syringes.
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Durable
Accept variety of cartridges, needles Cost, weight, easy to handle aspirate |
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Types of Syringes
___________ Breech loading, metallic, aspirating Breech loading, plastic, aspirating breech loading, metallic, self-aspirating Pressure syringe Jet injector Disposable Safety CCLAD |
Non-disposable
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_______________
Aspirating Most commonly used*** Needle attachment Harpoon penetrates rubber stopper _____ pressure on thumb ring, blood enters cartridge if needle with a blood vessel |
Breech Loading Metallic Cartridge
Negative |
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name the 5 parts of the breech loading metallic cartrige.
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harpoon with piston
finger grip thumb ring needle adaptor syringe barrel |
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Visible cartridge
Aspiration with one hand Autoclavable Rust resistant Long lasting with proper maintenance are all ____________ |
Advantages of Breech Loading
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What are disadvantages of breech loading?
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Weight
Size Possibility of infection with improper care |
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What is the unique feature of the self aspirating syringe?
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metal projection within the syringe barrel depresses the diaphragm of the cartriage
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Cartridge is visible
Easier to aspirate with smaller hands Autoclavable Rust resistant long lasting with maintenance are advantages of _________ |
breech loading self aspirating
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What are disadvantages of self aspirating syringes?
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Weight
Feeling of insecurity for those used to harpoon Infection with improper care |
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Care of Syringes
Wash, rinse, autoclave after each use Lubricate threaded joints after every ___ uses Clean harpoon with a brush after each use Replace harpoons and pistons when harpoons become dull |
5
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What are some problems associated with syringes?
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leakage
Cartridge breakage Bent harpoon Disengagement of harpoon Surface deposits |
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Name the 5 component of the needle
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bevel
shaft hub syringe adaptor cartridge penetrating end |
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___________
Refers to internal diameter of needle Smaller the number, greater the diameter Advantages of _______ Less deflection, chance of breakage Aspiration easier and more reliable |
needle gauge
larger gauge |
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Needle length
Short – ______ Long – _______ Never insert needle to hub |
Short – 20 mm (1”)
Long – 32 mm (1.5”) Never insert needle to hub |
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Color code of needle gauge
25= _______ 27= _______ 30= _______ |
25= _______red
27= _______yellow 30= _______blue |
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Care and Handling/Needles
Never use on more than one patient Cover with protective sheath when not in use Know where tip is at all times Destroy after use Never discard in trash |
study
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Traditional syringe held in a ________ grasp.
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palm-thumb grasp
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Needle Complications
_______ – dull needles, barbs _______ – bending, changing direction during insertion, forcing against resistance smaller gauge needles Injury to patient or administrator – needle stick Always recap between usage ________– fish hook-like barbs (check by running along sterile gauze) |
Pain on insertion – dull needles, barbs
Breakage – bending, changing direction during insertion, forcing against resistance smaller gauge needles Injury to patient or administrator – needle stick Always recap between usage Pain on withdrawal – fish hook-like barbs (check by running along sterile gauze) |
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_______ technique is used for recapping a contaminated needle.
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scoop
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Contents of Cartridge
LA drug Vasoconstrictor (if present) Preservative for vasoconstrictor (______) – ___ month shelf life; ___ month without vaso. ________ ( makes solution isotonic) Distilled water |
LA drug
Vasoconstrictor (if present) Preservative for vasoconstrictor (sodium bisulfite) – 18 month shelf life; 48 month without vaso. Sodium chloride ( makes solution isotonic) Distilled water |
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Name the six component of the cartridge
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rubber diaphragm
neck aluminum cap drug identifying color coded band plunger indented from rim of glass silicon rubber plunger |
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____ cart. are sealed together in a blister pack.
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10
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Care and Handling/Cartridges
No autoclaving Store in blister pack, original container** Store at room temperature Never store in solution** Never warm cartridges** May disinfect diaphragm with alcohol **but not necessary Don’t store in sunlight** (causes deterioration |
study
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Problems with Cartridges
Bubbles in cartridges Small bubbles Larger bubbles =_______ |
Extruded stopper
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Problems with Cartridges
Burning on injection – possible causes Normal response to ___ of drug Sterilizing solution in cartridge _________ cartridge Use of cartridge with ______ Cartridge expired Sticky rubber stoppers Rare with silicone treatment |
Burning on injection – possible causes
Normal response to pH of drug Sterilizing solution in cartridge Overheated cartridge Use of cartridge with vasoconstrictor Cartridge expired Sticky rubber stoppers Rare with silicone treatment |
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Problems with Cartridges
Corroded cap Rust Breakage |
study
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________
Used to prepare tissue at injection site ______, merthiolate are examples Apply with cotton tip applicator May use sterile gauze as alternative |
topical anesthetic
Used to prepare tissue at injection site Betadine, merthiolate are examples Apply with cotton tip applicator May use sterile gauze as alternative |
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Other Armamentarium
Topical Anesthetic Applicator sticks Gauze Hemostat/Cotton Pliers |
study
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Steps in assembling syringe
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retract piston
insert cartridge engage harpoon with gentle thumb pressure plastic hub must be screwed onto syringe while simultaneously being pushed onto metal needle adaptor |
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Steps in replacement of cartridge
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retract piston
remove used cartridge when removing needle be sure to check if metal adaptor is not removed with needle scoop technique for recapping needle |
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What are the 7 Components of Treatment Notes for administration of anesthesia?
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Name and concentration of drug
Name and concentration of vasoconstrictor Dosage give Injections given Patient response Date Name of person administering LA |
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Treatment Notes example
D. Maseman administered 72 mg of 2% lidocaine, 1:100,000 epinephrine, Right PSA, MSA, ASA, GP, NP, IA, Lingual , Buccal. No adverse reactions. |
study
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Formula: ___ ml. per cartridge X number of cartridges X concentration of solution = mg administered
1% __ mg of drug/cartridge 2% __ mg of drug/cartridge 3% __ mg of drug/cartridge i.e. 36 mg(per cartridge) X 2 cartridges = 72 mg |
Formula: 1.8 ml. per cartridge X number of cartridges X concentration of solution = mg administered
1% 18 mg of drug/cartridge 2% 36 mg of drug/cartridge 3% 54 mg of drug/cartridge 2 cartridge of 2% lidocaine: 1.8 X 2 X 20 = 72 mg OR 36 mg(per cartridge) X 2 cartridges = 72 mg |
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Vasoconstrictor Calculations
Formula: 1.8 ml/cartridge X number of cartridges X concentration of agent = mg administered Example - 2 cartridges of epi 1:100,000 0.018 mg/cartridge X number of cartridges |
study
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Risk Management
Components Communication Informed consent Documentation Post exposure protocol |
study
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________
Verbal Active listening Paraphrasing Non-verbal Empathy Respect Warmth |
communication
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Explanation Risks Consequences Alternatives or options Allow for questions Fees |
informed consent
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_______
Clear Specific Verbal must be documented; signature preferred Document decline |
documentation
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_________
Prevention – engineering controls, work practice controls, PPE Definition – percutaneous or permucosal exposure to blood or other body fluids |
exposure
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What is the Exposure Protocol
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Report
Evaluation Counseling Treatment Follow-up |
