By Paul Coulthard BDS MFGDP MDS FDSRCS PhD, Keith Horner BChD MSc PhD FDSRCPS FRCR DDR, Philip Sloan BDS PhD FRCPath FRSRCS, Elizabeth D. Theaker BDS BSc MSc MPhil
A ebook within the grasp Dentistry sequence, this better evaluation booklet combines center studying with self-assessment in an available, easy-to-use layout. It bargains a good procedure for reviewing and learning the basic scientific wisdom dental scholars want to know for ultimate checks.
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Sample text
Fainting is the most common such complication. Toxic. Overdose with LA may lead to light-headedness, sedation, circumoral paraesthesia and twitching. More serious overdose can result in convulsions, loss of consciousness, respiratory depression and cardiovascular collapse. v. injection may lead to excessively high plasma concentration. Prilocaine has low toxicity, similar to lidocaine, but if used in high doses may cause methaemoglobinaemia. Allergic. Approximately 2 000 000 dental local anaesthetic injections are administered daily around the world.
This characteristic is desirable when a sustained drug effect is needed. Such factors as peripheral oedema, vasoconstriction and the presence of burns can slow absorption; therefore, subcutaneous injections should not be administered to patients with hypotension, oedema in the injection areas, severe skin lesions such as burns and psoriasis, or severe arterial occlusive disease in the affected extremity. The lateral aspect of the upper arms and thighs, the abdomen below, above and lateral to the umbilicus, and the upper back are the sites of injection.
D. False. Angina is typically an exercise-related pressing precordial chest pain, radiating to the jaw and left arm, but it is relieved by nitrates. e. False. Many patients are more comfortable in an upright or semi-reclined position than supine. Intra-oral glyceryl trinitrate spray and oxygen should be administered. Case history answer The patient should be placed in the supine position again and her airways, breathing and circulation (ABC) checked. Resuscitate as appropriate. If the patient is unconscious but breathing and has a circulation, then provide oxygen therapy and move into the recovery position.