WREB Local Anesthesia questions n answers rated A+

WREB Local Anesthesia*LOCAL ANESTHESIA COMPLICATIONS + RELATED MEDICAL CONDITIONS (LA)* - correct answer *Lesson 1* Local Complications - correct answer Needles usually fracture at the ____ which is the weakest part - correct answer hub Name causes of a needle breaking - correct answer -sudden movement by patient *(MOST COMMON)* -insertion of the needle *all the way to the hub* -*bending* of needle before insertion -*change of needle direction* during penetration What do you do if the needle needs to be re-positioned? - correct answer retrieve it fully and reinsert it What injections are must common for the needle to break during? - correct answer IA or PSA What can you do to prevent needle breakage during the IA nerve block? - correct answer -use long needle w/ smaller gauge -do not insert it all the way to hub The _______ (or _______) should be available at all times for retrieval if broken needle is visible - correct answer hemostat (or locking cotton pliers) How soon should you refer a patient if the needle broke and is not visible? - correct answer immediately Define Paresthesia - correct answer anesthesia or altered sensation persisting beyond the expected duration of anesthesia When does paresthesia occur? - correct answer when a nerve is pressured or irritated What is paresthesia caused by? - correct answer -contaminated alcohol or sterilization solution -hemorrhage (bleeding) in or around the nerve -damage to the nerve by the needle during injection What "side effects" can paresthesia case? - correct answer -pain -numbness -tingling -swelling -itchiness -loss of taste -drooling -speech impairment sometimes paresthesia *cannot* be ________? - correct answer prevented Symptoms usually disappear on their own within ___ weeks - correct answer 8 Define Facial Nerve Paralysis - correct answer loss of motor function of the facial expressions When does FNP occur - correct answer when the anesthetic is deposited into the *PAROTID GLAND* -b/c facial nerves pass through the parotid gland What is FNP characterized by? - correct answer "droopy face" How do you manage the condition? - correct answer -remove contact lens -manually close eyelid or apply eye patch on affected side until muscle tone returns