Atracurium (Tracrium) Respiratory Medication

Question 1

Classification:

Answer 1

• Nondepolarizing neuromuscular blocker

Question 2

Action:

Answer 2

• Antagonizes acetylcholine receptors at the motor end plate, producing muscle paralysis

Question 3

Indications:

Answer 3

• Neuromuscular blockade to facilitate ET intubation

Question 4

Adverse Effects:

Answer 4

• Flushing
• Edema
• Urticaria
• Pruritus
• Bronchospasm and/or wheezing
• Alterations in HR
• Decrease in BP

Question 5

Contraindications:

Answer 5

• Cardiac disease
• Electrolyte abnormalities
• Dehydration
• Known sensitivity

Question 6

Dosage (Adult):

Answer 6

• 0.4 to 0.5 mg/kg IV, IO
• Repeat w/ 0.08 to 0.1 mg/kg every 20-45 mins as needed for prolonged paralysis

Question 7

Dosage (Pediatric older than 2 years):

Answer 7

• 0.4 to 0.5 mg/kg IV, IO
• Repeat w/ 0.08 to 0.1 mg/kg every 20-45 mins as needed for prolonged paralysis

Question 8

Dosage (Pediatric younger than 2 years):

Answer 8

• 0.3 to 0.4 mg/kg IV, IO

Question 9

Special Considerations:

Answer 9

• Do not give by IM injection