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72 Cards in this Set
- Front
- Back
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Purpose of vasoconstrictors in local anesthetic |
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What is the max dose of vasoconstrictors in local anesthetic |
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What is the max dose of: articaine Lido Mepivicaine Prilocaine |
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What are symptoms of local anesthetic overdose |
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How would you mange local anesthetic overdose |
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What drugs would you use to manage local anesthetic overdose and why |
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What is the allergic potential of dental cartridge Which allergy can cause cross allergenicity with the dental cartridge |
Sulfa allergy can use local anesthetics |
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What are stages of anesthesia |
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How is nitrous oxide eliminated |
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What are the anesthetic properties Of nitrous |
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Contraindications of use of nitrous |
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When do you need to get a med consult when planning to use nitrous |
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What are the emergency oxygen requirements for your office |
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What are the greatest risk factor for adverse sedation events |
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What are the anatomic difference of the child verse adult airway |
Narrow nasal passage ( Obligate nasal Breathers) Significant Lymphoid tissue Less developed mandible |
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How does the pulse oximeter work |
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What is the first pass phenomenon |
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How does sedation work in the brain |
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Which nerve supplies the mandible,maxilla tongue and teeth |
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How does local anesthetic work |
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What is the composition of local anesthetics |
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How does Ph and pka affect local anesthetics effectiveness |
The lower the pka the more nonionized molecules =more effective |
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How does tissue pH change the effectiveness of a local anesthetic |
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Mental nerve block - what teeth are affected - what nerve is blocked - where is the site of injection |
Mental and incisive nerve |
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PSA block - what nerve is blocked - what teeth are numb - where is the site of injection |
1- Post superior alveolar nerve 2- The Maxillary molar teeth may not get the mesio buccal root of the 1st Maxillary molar In all buccal soft tissue adjacent to molars 3- Behind the last molar |
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Where is the site of injection for a IA block |
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What can the long buccal nerve anesthetize and where is the site of injection |
-The long buccal nerve will sometimes innervate primary and permanent molars --the site of injection is buccal to the last tooth to be treated |
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How does the mandibular foramen in the child differ from an adult And how is growth of the mandible characterized in a child |
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Gow Gates block - what teeth are numb -where is the site of injection - what nerves are blocked |
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What is the cause of injection pain |
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What are some characteristics of a larger needle gauge |
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What determines the effectiveness of your anesthesia |
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What are the types of local anesthetics and where are they metabolized |
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What topical anesthetic has been known to cause issues in children and what is the issue |
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What is the duration of pulpal and soft tissue anesthesia of Lidocaine |
45 minutes for pulpal anesthesia two to three hours for soft tissue anesthesia |
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Which injectable anesthetic has been associated with meth hemoglobinemia |
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What is the treatment for methemoglobinemia |
Methylene blue injection |
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What are key characteristics of articaine 1- Where is it metabolized |
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What is epinephrine effects on the cardiovascular system |
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Should epinephrine be used in cardiac patients |
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How many milligrams of Lidocaine and articaine are in 1 carpule And how much volume is in 1 carpule |
34 mg = lidocane 68 mg = articaine Volume = 1.8L/ cartridge |
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What is the Concentration effect and the 2nd gas effect of nitrous oxide |
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What are the effects of nitrous oxide |
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What are the adverse effects of nitrous oxide |
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What are the indications for nitrous oxide use |
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What is the MTHFR deficiency and how does nitrous oxide affect it |
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What are we concerned about with children born prematurely as it relates to sedation |
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What are the concerns with obesity as it relates to sedation |
When Calculating drug doses total body weight may increase the likelihood of administration supra therapeutic dose |
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What are the NPO Guidelines for Sedation |
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What are the AAPD Guideline for monitoring ventilation in a moderately sedated patient |
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What are the documentation guidelines 4 monitoring a moderately sedated patient |
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How often should Blood pressure be monitored during sedation |
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How often should heart rate and oxygen be monitor during sedation |
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What is a prechordial stethoscope |
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What are some common oral sedation drugs and what classification of drugs are they |
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Chloral hydrate 1- what Type of drug 2- Where's it metabolized 3- What are some adverse effects 4- Is it reversible 5- Are there any adverse interaction |
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Meperidine 1- Type of drug 2- Adverse effects 3- Adverse interaction 4- Where's it metabolized 5- Contraindications |
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Midazolam 1- Is it reversible 2- What are its therapeutic effects 3- Where's it metabolized 4- Precautions |
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Diazepam 1- Is it reversible 2- Therapeutic effects |
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Hydroxyzine 1- Type of drug 2- Is it reversible 3- Therapeutic effect 4- How is it metabolized 5- Adverse effects |
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How does Herbal medication effects sedation Drugs |
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What are some black Box/ FDA warnings on sedation drugs |
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Flumazenil 1- What is it 2- What are its properties 3- Initial onset/ Maximum effect 4- Dose |
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Naloxone 1- What is it 2- Onset 2- Dose |
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What are the cascade of events when you get into a medical emergency With sedation |
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How do you manage Laryngospasm |
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What's the Larson maneuver |
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How do you manage airway obstruction |
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How do you manage apnea |
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What's the formula for sizing endotracheal Tube |
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What were the trends in adverse sedation events |
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What were the trends in death associated with most Pediatric sedation |
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