Exam 5: Local Anesthetic Agents

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What local anesthetic agents would be a good choice to use when a vasoconstrictor is contraindicated?

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Mepivacaine and prilocaine

Marcaine is the proprietary name for which of the following?

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Name the local amide anesthetic agent that has the highest dissociation constant and explain what this high dissociation constant means.

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Bupivacaine has the highest pKa,which meAnswer that it has the slowest onset of action but has a duration that almost doubles the duration of lidocaine.

What is the advantage of the thiophene ring found in articaine?

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Which of the following questions should the dental hygienist consider prior to administering local anesthetic to a patient? 1) What is the dental or dental hygiene care plan? 2) What is the need for post-treatment pain control after the procedure? 3) What is the patient's level of anxiety? 4) Is hemostasis needed for restorative dentistry? 5) What medication is the patient currently taking?

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What is the difference between generic names and proprietary names of local anesthetics?

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Name the only long-lasting local anesthetic available for use in dentistry.

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Which anesthetic solution is still available in multidose vials and is used in medicine as an antiarrhythmic agent?

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Sodium chloride is a buffer creating an injectable solution that is isotonic.

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What is the term used to describe the persistent anesthesia or the altered sensation of tingling or itching beyond the expected duration of local anesthetic?

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Among local anesthetics procaine has the highest percentage of protein binding and is the most lipid soluble.

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What is the solution that was added to the cartridge of local anesthetic to prevent bacterial growth?

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Epinephrine is the most commonly used anesthetic in dentistry.

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What is the lipid solubility and the protein-binding ability of the local anesthetic related to?

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Which amide anesthetic agent is metabolized in both the plasma and the liver?

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Articaine cartridges of local anesthetic contain 1.7 ml of solution.

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What is the name of the only topical amide anesthetic currently on the dental market in the United States?

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Which two local anesthetic agents have the least vasodilating properties?

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Septocaine,Zorcaine,and Articadent are the proprietary names for which of the following?

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Which of the following statements are true regarding local anesthetics and allergic reactions? 1) Sulfite sensitivities have been well documented and may rule out anesthetic formulations that contain vasoconstrictors.2. A patient reporting an allergic reaction prior to 1984 is probably allergic to the local anesthetic Novocaine.3. A documented drug allergy would indicate the need for an alternative drug selection and may represent an absolute contraindication to the offending drug.

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