Which of the following is not a local anesthesia consideration in oral and maxillofacial surgery when treating an infected patient?
A) Use a greater amount of local anesthetic to help overcome acidity created by the infection. (Make sure maximum doses are not exceeded.)
B) Use a regional nerve block away from the area of inflammation.
C) Discard the needle after injecting in or near an area of inflammation/infection.
D) Use a local anesthetic agent with a lower pH.
D
Explanation:D) In an area of infection, an anesthetic with a low pH has a decreased ability of providing adequate anesthesia compared to one with a higher pH.
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Which of the following is the most important to prevent the spread of infection?
a. Wearing a buttoned, clean cotton laboratory coat at all times in the laboratory b. Using antiseptic cleaner to wash the countertops after completion of work c. Double gloving when performing procedures that have a high likelihood of blood splashing d. Washing hands vigorously with germicidal soap and water when visible contamination exists, after removing gloves, and before leaving the laboratory
You are by the side of an 88-year-old male who fell. He has a hematoma to his forehead as well as deformity to his left forearm. His daughter informs you that her father has severe dementia and she cares for him at home. As you assess him, he continually screams out, "Mary, help me. I need help!" At this time, which question is most appropriate to ask the daughter?
A) "Was Mary his wife?" B) "Is this how he normally is?" C) "Do you know what he means by this?" D) "My mother suffers from dementia; it is a terrible disease, isn't it?"