Question

A 35-year-old female patient drove herself to the emergency department because she sustained a small laceration to her finger. She reports the last time she received a subcutaneous injection of lidocaine she "broke out in hives" and her "throat became swollen." What is a reasonable alternative for local anesthesia in this patient? (A) Subcutaneous administration of prilocaine. (B) Administration of diphenhydramine 30 minutes prior to lidocaine injection. (C) Oral diphenhydramine. (D) Subcutaneous administration of procaine.

   A 35-year-old female patient drove herself to the emergency department because she sustained a small laceration to her finger. She reports the last time she received a subcutaneous injection of lidocaine she "broke out in hives" and her "throat became swollen." What is a reasonable alternative for local anesthesia in this patient?
(A) Subcutaneous administration of prilocaine.
(B) Administration of diphenhydramine 30 minutes prior to lidocaine injection.
(C) Oral diphenhydramine.
(D) Subcutaneous administration of procaine.

Emergency Medicine Examination & Board Review

Susan Promes 3rd Edition

Chapter 2, Problem 5

Instant Answer

Step 1

It is important to confirm the patient's allergy to lidocaine and determine the severity of the reaction. This can be done by asking the patient about the specific symptoms she experienced and reviewing any previous medical records related to the allergy. Show more…

Show all steps

Thanks for your feedback!

A 35-year-old female patient drove herself to the emergency department because she sustained a small laceration to her finger. She reports the last time she received a subcutaneous injection of lidocaine she "broke out in hives" and her "throat became swollen." What is a reasonable alternative for local anesthesia in this patient? (A) Subcutaneous administration of prilocaine. (B) Administration of diphenhydramine 30 minutes prior to lidocaine injection. (C) Oral diphenhydramine. (D) Subcutaneous administration of procaine.

Play audio

Feedback

Ace is your personal tutor. It breaks down any question with clear steps so you can learn.

Start Using Ace

Continue solving this problem

Create a free account to:

View full step-by-step solution
Ask follow-up questions with Ace AI
Save progress and study later

Please give Ace some feedback