Pain management is an important part of dental patient treatment. With an increasing segment of the population taking an increased number of medications on a daily basis, dental clinicians must take this information into consideration prior to administering local anesthetics. This course outlines a number of medical conditions, medications, herbs, and supplements that can alter the administration of local anesthetic for pain management. An overview of the basic pharmacology of local anesthetics is presented with a focus on their selection, metabolism, and excretion. The predisposing factors to adverse drug reactions, toxic overdose, and anaphylaxis are outlined. This course lists the factors to be evaluated and important questions to review with a patient prior to local anesthesia administration.
DANB Approved: From 08/25/2009 To 08/24/2012
Upon completion of this course, participants should be able to:
- Describe the normal pharmacological effects of local anesthetics on the cardiovascular and central nervous system;
- Compare pharmacological principals of esters, amides in the metabolism and excretion of local anesthetic;
- Discuss the predisposing factors to adverse drug reactions, toxic overdose and anaphylaxis in the control of pain management;
- Examine how and why you would select a specific topical or local anesthetic and what would be appropriate for a specific patient;
- List the 6 physical status considerations outlined by the American Society of Anesthesiologists;
- List the factors to be evaluated and important questions to review with a patient prior to local anesthesia administration;
- Identify the medical condition that is no longer a concern when administering a local anesthetic;
- Analyze the significance of medicinal, herbal, or medical conditions and identify the necessary modifications to treatment in regards to safe local anesthesia administration;
- List the risks associated with the administration of compound topical; and
- List the adverse reactions and contraindications in the administration of compound topical.
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