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APEA PRIMARY CARE PROCEDURES-Questions with Correct Answers/ Verified

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Hospital credentialing committee - identifies WHO can perform certain procedures -ointment, aerosol Skin, MM -viscous solution/Oropharynx, Jelly/Urethra Ointment, suppository/ Rectum -cream Rectum, skin, MM - Topical: Benzocaine Cream? Lidocaine Solution? Tetracaine Ointment? Injected betwee...

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  • August 21, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Apea
  • Apea
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MikeHarris
APEA PRIMARY CARE PROCEDURES-Questions with Correct
Answers/ Verified

Hospital credentialing committee - ✔✔identifies WHO can perform certain procedures


-ointment, aerosol Skin, MM
-viscous solution/Oropharynx, Jelly/Urethra Ointment, suppository/ Rectum

-cream Rectum, skin, MM - ✔✔Topical:
Benzocaine Cream?
Lidocaine Solution?
Tetracaine Ointment?


Injected between the dermis and the subcutaneous layer, where anesthesia is desired



• Use: laceration, incision and drainage, excisional biopsy, others - ✔✔local injection what
layers of the skin?
local injection used for?


A few different agents:
• *Lidocaine (Xylocaine) 1%, 2%
• *Bupivacaine (Marcaine, Sensorcaine) 0.25-0.5%
• Carbocaine

• Dibucaine - ✔✔different names of lidocaine?


1. 1%, 2% , 4-10 mins for onset 30-120 mins duration


2. 0.25%-0.5% 8-12 mins onset 4-6 hours duration



3. 1% Lidocaine without epinephrine - ✔✔-Lidocaine (Xylocaine) percent? onset? duration?

, • Bupivacaine (Marcaine, Sensorcaine)? percent? onset? duration?


• One of the most commonly used! Once injected, provides anesthesia to the area in about
1 minute and lasts 30-120 minutes


1. burn on injection


2. 1 mL per 10 mL of 1% anesthetic



3. 300 mg (30 mL in adults) - ✔✔Lidocaine:
-Lidocaine has an acidic pH compared to the tissue, so it may?


• If you buffer the lidocaine with sodium bicarbonate; usually?


• Max amount to use is?


1. Bloody field: makes site easier to see
2. minute and lasts 2-6 hours (helpful for a painful laceration)
3. 500 mg (50 mL in adults)
4. vasoconstriction from epinephrine; produces a longer duration
5. vascular areas
6. You ALSO have to know when NOT to use it! Do not use on anything that dangles!!!!! Tip
of nose, earlobes, penis, fingers, toes - ✔✔1. Lidocaine with Epi:
2. Provides anesthesia to area in about ?
3. Max amount to use is ?
4. Longer anesthesia due to ?
5. Use on highly?
6. 1% lidocaine with epinephrine?


• Every digit has 4 nerves:

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