MCGRAW-HILL EMERGENCY MEDICINE EXAM REVIEW (TINTINALLI'S) TEST BANK

MCGRAW-HILL EMERGENCY MEDICINE EXAM REVIEW (TINTINALLI'S) TEST BANK
Question : Which of the following methods is NOT an
appropriate way to decrease the pain of infiltration from a
local anesthetic?
A Buffering the anesthetic solution with sodium
bicarbonate prior to infiltration
B Injecting through the wound margins instead of through
intact skin
C Rapid injection to minimize the duration of pain
D Using 1 mL of sodium bicarbonate 8.4% to buffer 29
mL of bupivacaine 0.25%
E Warming the solution to body temperature before
injecting
Correct answer: C. Rapid injection to minimize the
duration of pain
Explanation: There are multiple ways to reduce pain of
infiltration of a local anesthetic. They include slow (not
fast) injection, warming the solution to body temperature,
and injecting through the margins of the wound.

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