Local Anesthesia

Question 1

Ester

Answer 1

Procaine (Novacain)

Question 2

Amide

Answer 2

Lidocaine (Xylocaine)

Question 3

Local anesthesia is used for

Answer 3

• Block pain transmission I peripheral nerves

- Loss of sensation of small or limited area of the body

Question 4

MOA for Local Anesthia

Answer 4

Sodium Channel Blocker

Question 5

Spinal Anesthesia

Answer 5

• Used for surgery on lower abdomen, inguinal and lower extremities
• Used for patients with respiratory, hepatic or kidney dz
• Positioned as semi-Fowler’s to prevent diaphragmatic paralysis and respiratory depression

Question 6

Topical

Answer 6

• Used for skin and tissue pain like poison ivy dermatitis
• Throat Lozenges
• Sunburn/Itching
• May be administered with epinephrine as a vasoconstrictor to limit blood loss at surgical site and to prolong anesthesia duration

Question 7

Nursing Concerns:

Answer 7

Never apply epinephrine to Finger, Toe, Penis, Ear, and Nose sites to avoid possible necrosis