Back to AI Flashcard MakerNursing /BDS2 OSCE Prep - Local Anaesthetic Scenarios OSCE
Patient is booked for extraction of their 14. What LA technique would you use?
infiltration
Tap or swipe ↕ to flip
Swipe ←→Navigate
1/23
Key Terms
Term
Definition
Patient is booked for extraction of their 14. What LA technique would you use?
infiltration
Patient is booked for extraction of their 14. What needle would you use?
short needle (blue, 25mm)
You are about to perform LA on a patient, how would you set up for the procedure?
no gloves empty contents onto bracket table hand hygiene & glove up check expiry date & batch number on LA cartridge put rubber bung on handle and ass...
why might lignocaine not be used when administrating LA to a patient?
cant guarentee latex free - solutions usually contains adrenaline
why might prilocaine be contraindicated when providing LA to a patient?
solutions tend to contain felypressin which should not be used on pregnant patients (induces labour)
Patient is booked in for extraction of their 14, what anatomical feature would you use to administer LA?
administer distal to apex of 14 at the muccobuccal fold
Related Flashcard Decks
Study Tips
- Press F to enter focus mode for distraction-free studying
- Review cards regularly to improve retention
- Try to recall the answer before flipping the card
- Share this deck with friends to study together
| Term | Definition |
|---|---|
Patient is booked for extraction of their 14. What LA technique would you use? | infiltration |
Patient is booked for extraction of their 14. What needle would you use? | short needle (blue, 25mm) |
You are about to perform LA on a patient, how would you set up for the procedure? | no gloves empty contents onto bracket table hand hygiene & glove up check expiry date & batch number on LA cartridge put rubber bung on handle and assemble with wide bit at the top place LA catridge into syringe body and handle into syringe body pull back protective sheath & click remove cap and check LA flows out |
why might lignocaine not be used when administrating LA to a patient? | cant guarentee latex free - solutions usually contains adrenaline |
why might prilocaine be contraindicated when providing LA to a patient? | solutions tend to contain felypressin which should not be used on pregnant patients (induces labour) |
Patient is booked in for extraction of their 14, what anatomical feature would you use to administer LA? | administer distal to apex of 14 at the muccobuccal fold |
how do you ensure the LA worked? | test for sensation locally, lack of sensation shows it worked |
What local complications can arise from administering LA? | fainting haematoma if blood vessel damaged trismis if damage to muscle delivery of wrong nerve |
How do you safely dispose of needles? | double click cover don’t resheath needle place needle and cartidge in correct sharps bin dispose of sharps immediately |
patient is booked for deep carious restoration of tooth 36, what LA technique would you use? | IDB/IAN - infilitration administered distal to the 36 at the muccobuccal fold |
A patient comes into your surgery that has controlled hypertension, what LA do you decide to use? | Lidocaine HCL 2% with 1:80,000 Adrenaline - no more than 2 cartridges |
A patient comes into your surgery with uncontrolled/unstable hypertension and requires LA, what solution do you decide to use? | Plain lidocaine, prilocaine or mepivicaine (avoid LA solutions with adrenaline) |
A pregnant patient comes into your surgery that requires LA for a procedure, what LA solution do you decide to use? | Lidocaine 2% HCL 1:80,000 adrenaline |
You have recently given a patient an IDB, they come back to the surgery complaining that they cannot open their mouth properly, what has happened? | TRISMUS - caused damage to the medial pterygoid (injected too low) |
You are performing an IDB on a patient when suddenly they lose function of the side of their face, what has happened? How do you manage this? | LA has been injected into the parotid gland and is acting on the facial nerve reassure the patient and provide eye covering until blink reflex returns |
A patient has lost function in one side of their face after administration of LA, you suspect it is facial palsy but how do you ensure that they are not having a stroke? | If patient CAN move eyebrow, they are experiencing facial palsy If patient CANNOT move eyebrow they may be having a stroke |
What will happen if LA with adrenaline is injected into an artery? | skin blanching visual disturbance aural disturbance |
What may happen if LA with adrenaline is injected into a vein? | palpitations anxiousness pallor sweating |
A patient comes in and requires an IDB for treatment, they phone the surgery 4/5 hours later and complain that they still have loss of sensation, what has happened? | Prolonged anaesthesia can be caused by: direct trauma to IAN by needle chemical trauma if use of articaine |
what are some systemic complications of Local Anaesthetics? | psychogenic drug interactions cross infections allergy collapse toxicity |
how do beta blockers interact with LAs? | slow the metabolism of lidocaine, bupivicaine, mepivicaine inhibits the vasodilatory affect of adrenaline increase toxicity of adrenaline containing LAs |
A patient comes into your surgery and requires LA for a procedure. After taking a history you see that they are on Propranolol, how does this affect the type of LA you administer? | Avoid LA containing adrenaline if possible. If not possible keep dosage to a minimum. |
A patient enters your surgery and lets you know that they suffer from Haemophillia, how does this affect their treatment? | cannot perform IDB as a hematoma can occur in the retromolar and pterygoid area |